Cervical spondylosis is a common degenerative condition affecting the cervical spine, and its prevalence increases with age. The C3–C4 level represents the motion segment between the third and fourth cervical vertebrae. Degenerative changes at this level may involve the intervertebral disc, facet joints, and surrounding bone structures. Although these changes may affect cervical movement or adjacent neural structures when stenosis occurs, radiological degeneration does not necessarily indicate the presence of clinical symptoms. Therefore, imaging findings should always be interpreted together with the patient's history and clinical examination. The degenerative process commonly begins with gradual changes in the intervertebral disc, including loss of water content and elasticity. This may lead to reduced disc height and altered mechanical loading of the surrounding joints. With progression, osteophytes and facet joint degeneration may develop, potentially resulting in narrowing of the neural foramina or spinal canal. Clinical symptoms vary according to the severity of degeneration and the structures involved. Patients may experience localized neck pain, stiffness, and restricted range of motion. If a nerve root is affected, symptoms such as numbness, tingling, or weakness may occur. Gait or balance disturbances, progressive weakness, or other neurological signs may suggest spinal cord involvement and require specialized medical assessment. Diagnosis is based on clinical history, physical and neurological examination, and appropriate imaging. X-rays may demonstrate alignment, bony changes, and reduced intervertebral space, while magnetic resonance imaging (MRI) provides more detailed information about the intervertebral discs, spinal cord, and nerve roots. MRI is particularly useful when neurological symptoms or neural compression Al-Mustaqbal University, the first university in Iraq.