<s>[INST] I just got my c-spine MRI report and was wondering what some parts meant. At C4-5, there is a tiny paracentral disc bulging .There is no spinal or neural foraminal stenosis . At C5-C6, there is a 3.5 mm diffuse disc bulging abutting the cord and atropy of uncovertebral joints. There is minimal bilateral neural foramnal stenosis. At C6-C7, there is 2 mm left paracentral disc bulging. There is no spinal or neural foraminal stenosis. C2-3, C3-4, and C7-T1 all say no evidence of disc bulging or herniation, there is no spinal or neural foraminal stenosis. I had the MRI done because of neck pain and paresthesia in the right hand. Are these findings something I should be concerned about? Thanks. [/INST] Hi there. Thank you for posting your question with Chat Doctor. I will do my best to help you.  The lesion at C4-5 is OK. Just a bit of ware and tare. The lesion at C 5-6 is more serious and as the disc has degenerated and in impinging on emerging nerve roots. This may require surgery later. Lesion at the next space is OK and below this again OK. Only your doctor, taking these findings in conjunction with your clinical presentation, the amount of pain and symptoms that you are having and so on, is in a position to advise as to what the best way forwards for you is. You do have significant degenerative changes, however.  I hope that I have answered your questions fully and been of some help.  If you have any more questions please contact me again anytime.  Chat Doctor.  </s>