 There are no acute 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. The visualized paraspinal contents are unremarkable.C1/2: There is a focus of intrinsic cord T2 hyperintensity without obvious adjacent anatomic/degenerative cause.C2/3: Posterior osteophyte disc complex, ligamentum flavum thickening, and moderate bilateral facet hypertrophy. There is moderate bilateral neural foraminal stenosis.C3/4: Mild anterior compression deformity of C3 and C4, extensive posterior osteophyte disc complex, ligamentum flavum thickening, bilateral uncinate hypertrophy, moderate left facet hypertrophy, severe right facet hypertrophy, and right facet fusion. The combination of these features result in circumferential cord flattening associated with intrinsic cord T2 hyperintensity abnormality (predominately on the right). There is moderate central and moderate severe bilateral neural foraminal stenosis.C4/5: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, moderate left facet hypertrophy, and mild right facet hypertrophy. There is mild central, severe left neural foraminal, and moderate right neural foraminal stenosis.C5/6: Posterior osteophyte disc complex, ligamentum flavum thickening, bilateral uncinate hypertrophy, moderate left facet hypertrophy, and mild right facet hypertrophy. There is mild central and severe bilateral neural foraminal stenosis.C6/7: Posterior osteophyte disc complex and uncinate hypertrophy asymmetric to left, ligamentum flavum thickening, and mild left facet hypertrophy. There is severe left neural foraminal stenosis.C7/T1: Posterior osteophyte disc complex and mild bilateral facet hypertrophy result in mild bilateral neural foraminal stenosis.
1.C1/2: There is a focus of intrinsic cord T2 hyperintensity without obvious adjacent anatomic/degenerative cause. This is nonspecific in appearance and the differential diagnosis is broad.2.C2/3: Moderate bilateral neural foraminal stenosis.3.C3/4: A combination of degenerative features result in circumferential cord flattening associated with intrinsic cord T2 hyperintensity abnormality (predominately on the right) consistent with myelopathy. There is moderate central and moderate severe bilateral neural foraminal stenosis.4.C4/5: Mild central, severe left neural foraminal, and moderate right neural foraminal stenosis.5.C5/6: Mild central and severe bilateral neural foraminal stenosis.6.C6/7: Severe left neural foraminal stenosis.7.C7/T1: Mild bilateral neural foraminal stenosis.