 The vertebral column alignment is within normal limits. The vertebral body heights are preserved. There is minimal pannus at the dens. There is moderate loss of disc height with endplate degenerative changes at C4-5 and mild loss of disc height at C5-6 and C6-7. Aside from the associated degenerative endplate signal alterations, the vertebral bone marrow signal is unremarkable. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. There are mild right mastoid air cell effusions. There is a 5 mm wide right thyroid nodule.C2-C3: No significant disc bulge, spinal canal or neural foramen stenosis.C3-C4: No significant disc bulge, spinal canal or neural foramen stenosis.C4-C5: Disc-osteophyte complex with uncovertebral hypertrophy and thickening of the ligamentum flavum, contributing to modearte spinal canal and mild bilateral neural foramen stenosis.C5-C6: Disc-osteophyte complex with uncovertebral hypertrophy and thickening of the ligamentum flavum, contributing to mild spinal canal and mild bilateral neural foramen stenosis.C6-C7: Disc-osteophyte complex with uncovertebral hypertrophy and thickening of the ligamentum flavum, contributing to mild spinal canal and mild bilateral neural foramen stenosis.C7-T1: No significant disc bulge, spinal canal or neural foramen stenosis.
1. Degenerative cervical spondylosis, contributing to moderate spinal canal stenosis at C4-C5 and mild spinal canal stenosis at C5-C7, as well as mild bilateral neural foramen stenosis at these levels.2. Nonspecific 5 mm wide right thyroid nodule. Thyroid ultrasound may be useful for further evaluation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.