Arm pain and neck pain. History of cervical radiculopathy, now with worsening pain and weakness. Evaluate for progression. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is loss of cervical lordosis. Alignment is otherwise maintained. Bone marrow signal is benign.The cervical spinal cord has 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. Minimal right neural foraminal narrowing. Left neural foramen is patent. C3-4: Disc osteophyte complex including uncovertebral hypertrophy, particularly on the left. There is mild right and moderate left neural foraminal stenosis. No significant spinal canal stenosis.C4-5: Disc osteophyte complex and uncovertebral hypertrophy. There is effacement of the ventral thecal sac and subtle left ventral cord deformity. No significant stenosis however overall, with widely patent dorsal thecal sac. There is moderate left and mild to moderate right neural foraminal stenosis, which appears minimally worse since 2/23/2015.C5-6: Small disc osteophyte complex and uncovertebral hypertrophy on the left result in mild to moderate left neural foraminal stenosis. No significant spinal canal or right neural foraminal narrowing.C6-7: Right paracentral disc osteophyte complex. No significant spinal canal stenosis or left neural foraminal stenosis. Minimal right neural foraminal narrowing. C7-T1: Disc osteophyte complex and uncovertebral hypertrophy result in mild to moderate right and moderate left neural foraminal narrowing, and appears minimally worse since prior. No significant spinal canal stenosis.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits. Small scattered perineural cysts are incidentally noted.
Compared to MRI cervical spine dated 2/23/2015, there is stable to minimal interval worsening of the multilevel degenerative changes in the cervical spine. There is minimal contact and deformity of the left ventral cord at the C4-C5 level related to disc osteophyte complex which is similar to prior. Otherwise there is no significant spinal canal stenosis at any level or cord signal abnormality. There is multilevel neural foraminal stenoses as detailed above.