 There are no fractures. The marrow signal is benign. The cervical and upper thoracic cord are normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. Fluid is present within a few right mastoid air cells. The remaining visualized paraspinal contents are unremarkable.C1/2: Ligament thickening is present without significant resulting stenosis.C2/3: Trace anterolisthesis C2 on C3, mild posterior osteophyte disc complex, ligamentum flavum thickening, and bilateral facet hypertrophy with bilateral facet fusion. There is moderate bilateral neural foraminal stenosis, however there is no central stenosis.C3/4: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, ligamentum flavum thickening, and left-sided facet hypertrophy with left facet fusion. There is mild central, severe left neural foraminal, and mild to moderate right neural foraminal stenosis.C4/5: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, ligamentum flavum thickening, and bilateral facet hypertrophy. There is mild central, moderate to severe left neural foraminal, and severe right neural foraminal stenosis.C5/6: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, ligamentum flavum thickening, and facet hypertrophy. There is mild to moderate central, severe left neural foraminal, and moderate to severe right neural foraminal stenosis.C6/7: Grade 1 anterolisthesis C6 on C7, posterior osteophyte disc complex, bilateral uncinate hypertrophy, and bilateral facet hypertrophy. There is mild central, moderate left neural foraminal, and moderate to severe right neural foraminal stenosis.C7/T1: Trace anterolisthesis C7 on T1, ligamentum flavum thickening, and bilateral facet hypertrophy. There is severe left neural foraminal and mild to moderate right neural foraminal stenosis.Bilateral facet hypertrophy is present involving all visualized upper thoracic levels which encroach the neural foramina bilaterally.
1.Fluid is present within a few right mastoid air cells. 2.C2/3: Moderate bilateral neural foraminal stenosis, however there is no central stenosis.3.C3/4: Mild central, severe left neural foraminal, and mild to moderate right neural foraminal stenosis.4.C4/5: Mild central, moderate to severe left neural foraminal, and severe right neural foraminal stenosis.5.C5/6: Mild to moderate central, severe left neural foraminal, and moderate to severe right neural foraminal stenosis.6.C6/7: Mild central, moderate left neural foraminal, and moderate to severe right neural foraminal stenosis.7.C7/T1: Severe left neural foraminal and mild to moderate right neural foraminal stenosis.8.Bilateral facet hypertrophy is present involving all visualized upper thoracic levels which encroach the neural foramina bilaterally.