Neck/shoulder pain with finger numbness. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is grossly maintained, aside from mild straightening and minimal retrolisthesis of C4 on C5, C5 on C6, and C6 on C7. Bone marrow signal is benign. There is trace prominence of the central canal from the C6 to C7 levels and can be normal variant. The cervical spinal cord has otherwise normal signal characteristics and overall morphology.Degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina. Left-sided facet arthropathy.C3-4: Small disc osteophyte complex with effacement of the ventral thecal sac. Overall no significant spinal canal stenosis at this level. There is mild narrowing of the bilateral neural foramina.C4-5: Small disc osteophyte complex and uncovertebral hypertrophy with mild to moderate left and mild right neural foraminal narrowing. There is effacement of the ventral thecal sac without overall significant spinal canal stenosis. C5-6: Disc osteophyte complex and bilateral uncovertebral hypertrophy with effacement of the ventral thecal sac. There is moderate bilateral neural foraminal stenosis. No significant spinal canal stenosis.C6-7: Disc osteophyte complex and uncovertebral hypertrophy. There is moderate left neural foraminal stenosis. Right neural foramen is patent. No significant spinal canal stenosis.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. Multilevel degenerative changes in the cervical spine with small multilevel disc osteophyte complexes. There is overall no significant spinal canal stenosis at any level. There is multilevel neural foraminal narrowing which may be contributing to patient's radiculopathy as detailed above.2. Trace prominence of the central canal in the lower cervical cord, which is of doubtful clinical significance.