46-year-old male with left shoulder pain and left hand weakness. Evaluate for cervical radiculopathy. Examined somewhat motion degraded. The craniovertebral junction appears within normal limits. The cervical spine alignment is maintained and the cervical vertebral bodies are appropriate in height. The bone marrow signal is within normal limits. There is mild multilevel loss of disc height involving the C3-4, C4-5 and C6-7 levels. The cervical spinal cord has normal signal characteristics and overall morphology. The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.Interspace observations:C2-3: No spinal canal or neuroforaminal stenosis.C3-4: Small disc osteophyte complex. Mild left neural foraminal narrowing. No spinal canal stenosis.C4-5: Small disc osteophyte complex eccentric to the left. Mild left neuroforaminal narrowing. No spinal canal stenosis.C5-6: Tiny disc osteophyte complex. Mild/moderate left neuroforaminal narrowing. No spinal canal stenosis.C6-7: Left paracentral disc protrusion which causes effacement of the thecal sac on the left as well as mild indentation indentation of the left aspect of the ventral spinal cord. There is no cord signal abnormality. There is no neural foraminal narrowing.C7-T1 through T2-T3: No significant compromise to the spinal canal or neural foramina.
Degenerative changes including a left paracentral disc protrusion at the C6-7 level which causes effacement of the thecal sac as well as mild indentation of the left aspect of the ventral cord. There is no cord signal abnormality. Left-sided multilevel neural foraminal stenoses as above.