Right arm pain and numbness, evaluate for disc herniation and nerve root entrapment. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is mild reversal of cervical lordosis with minimal anterolisthesis of C3 on C4 and C4 on C5 and mild retrolisthesis of C5 on C6 and C6 on C7. The cervical spinal cord has normal signal characteristics with mild dorsal displacement related to malalignment.Degenerative changes are seen throughout the cervical spine including multilevel facet arthropathy, disc osteophyte complexes, as well as loss of disc height at the C4-C5, C5-C6, and C6-C7 levels. Individual levels as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: There is moderate narrowing of the left neural foramen related to left facet arthropathy and uncovertebral hypertrophy. No significant compromise to the spinal canal or right neural foramen. C4-5: There is mild narrowing of the right neural foramen related to uncovertebral hypertrophy and facet arthropathy. There is partial effacement of the ventral thecal sac. No significant compromise to the spinal canal or left neural foramen. C5-6: There is small disc osteophyte complex and bilateral uncovertebral hypertrophy. There is moderate right neural foraminal narrowing and mild left neural foraminal narrowing. There is mild narrowing of the spinal canal.C6-7: There is disc osteophyte complex and bilateral uncovertebral hypertrophy. There is mild right neural foraminal narrowing and moderate left neural foraminal narrowing.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.
Degenerative changes of the cervical spine as detailed above. There is up to moderate right neural foraminal narrowing at C5-C6 which may be impinging the right C6 nerve root. No high-grade spinal canal stenosis or cord signal abnormality.