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There are bilateral vertebral artery loops at the level of C3/C4 disc space with protrusion into the neural canal and possible nerve root impingement.
Vertebral arteries are asymmetrical with left dominant - left vertebral artery encroaches a vast majority of the neural canal volume with high possibility of left sided C4 nerve roots compression.
The contralateral signs are similar although right vertebral artery is significantly smaller with a lesser possibility of nerve roots compression.
Additionally mild spondyloarthrosis is visible with some multilevel disc degeneration starting from C2 up to C6 without nerve roots or spinal cord compression.