Help with cervical mri results

Please help me understand what these results really mean.

Procedure(s):MR CERVICAL SPINE WO CONTRAST

Date of service: 12/4/2014 7:41 AM
Provided clinical information: 49 years, Male, "pain, numbness into

arms, history disc issue with nerve impingement."

Procedure and materials: Standard protocol.

Contrast: None.

Potential limitations: Patient motion artifact.

Comparison studies: None.

Observations:

Multilevel intervertebral disc space narrowing, uncovertebral

degenerative changes, posterior disc osteophyte complexes and facet

hypertrophy are present. Cervical lordosis is maintained. Mild

hyperintense STIR signal within the subcortical endplates at C5-C6 and

C6-C7 likely represents remodeling. Facets appear well aligned and

there is no splaying of the spinous processes. Spinal cord demonstrate

normal homogeneous signal intensity throughout.


Prevertebral musculature, paraspinous musculature/ligamentous

complexes, submandibular/thyroid glands and overlying soft tissues

appear normal. Bilateral cervical chain lymph nodes demonstrate no

aggressive features. Brain parenchyma in the posterior fossa

demonstrates mild prominence of the cerebellar tonsils at the level of

the foramen magnum without ectopia.




Findings by level (normal denotes no high-grade spinal canal or

neuroforaminal narrowing):

C1-C2: Osteophytic spurring and degenerative soft tissue yields

flattening of the thecal sac anteriorly without significant spinal

canal narrowing.


C2-C3: Normal.


C3-C4: Uncovertebral degenerative changes and posterior disc

osteophyte complex yield mild spinal canal, moderate right and mild

left neuroforaminal narrowing.




C4-C5: Uncovertebral degenerative changes, posterior disc osteophyte

complex and facet hypertrophy yield mild spinal canal and bilateral

neuroforaminal narrowing.




C5-C6: Uncovertebral degenerative changes, posterior disc osteophyte

complex and facet hypertrophy yield moderate spinal canal, severe left

and moderate right neuroforaminal narrowing. There is displacement and

remodeling of the left cervical hemicord without abnormal spinal cord

signal.




C6-C7: Uncovertebral degenerative changes and posterior disc

osteophyte complex yield mild spinal canal, moderate left and mild

right neuroforaminal narrowing.




C7-T1: Normal.







IMPRESSION:

Multilevel degenerative changes as detailed with the most significant

level demonstrating moderate spinal canal, severe left and moderate

right neuroforaminal narrowing. There is displacement and compression

of the spinal cord without abnormal spinal cord signal.




Urgency: IMPORTANT. This report contains IMPORTANT results which

require clinical attention.

Recommendation: No specific imaging recommendation.