66-year-old man status post heart transplant with right upper and left lower extremity neuropathic pain. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Loss of the normal cervical lordosis may be in part positional. Bone marrow signal is normal. The cervical spinal cord has normal signal characteristics and overall morphology. The cervical canal is congenitally narrow, particularly between C4 and C6.Degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: There is a disc osteophyte complex without spinal canal stenosis. There is mild to moderate right neural foraminal stenosis and mild left neural foraminal stenosis.C4-5: There is a disc osteophyte complex with mild spinal canal stenosis, particularly on the right. There is moderate bilateral neural foraminal stenosis.C5-6: There is a disc osteophyte complex with mild spinal canal stenosis, particularly on the left. There is moderate to severe bilateral neural foraminal stenosis.C6-7: There is a disc osteophyte complex without spinal canal stenosis. There is mild right and mild-to-moderate left neural foraminal stenosis. C7-T1: There is a disc osteophyte complex without significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. There is prominent fat in the subcutaneous and deeper soft tissues. The soft tissue structures are otherwise appear within normal limits.
1.Multilevel degenerative disease with spinal canal and neural foraminal stenoses. Overall this is worst at C5/C6, right greater than left. Please see additional details above.2.Please note that this examination only evaluates the cervical spine. If there is concern for brachial plexus abnormality, a dedicated brachial plexus MR can be obtained.