 Note the left sagittal oblique images could not be acquired as the patient requested the study be terminated.Alignment is anatomic. There are no fractures or subluxations. 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. Heterogeneous foci are noted within bilateral thyroid lobes, with a left left focus demonstrating a mixture of both T2 hyperintense and hypointense contents measuring up to 14 mm.C2/3: Mild degenerative changes without stenosisC3/4: Posterior osteophyte disc complex with a central extruded component which causes anterior cord flattening without intrinsic cord signal abnormality. There is also bilateral uncinate hypertrophy and ligamentum flavum thickening. There is mild central, severe left neural foraminal, and moderate right neural foraminal stenosis.C4/5: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, and ligamentum flavum thickening. There is mild central and severe bilateral neural foraminal stenosis.C5/6: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, and ligamentum flavum thickening. There is mild central and severe bilateral neural foraminal stenosis.C6/7: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, and ligamentum flavum thickening. There is severe bilateral neural foraminal stenosis.C7/T1: Bilateral facet hypertrophy without stenosis.T1/2: Bilateral facet hypertrophy and endplate spurring causes mild bilateral neural foraminal stenosis.T2/3: Right facet hypertrophy and endplate spurring causes mild bilateral neural foraminal stenosis.T3/4: Right facet hypertrophy and endplate spurring causes moderate right neural foraminal stenosis.T4/5: Right facet hypertrophy and endplate spurring causes mild right neural foraminal stenosis.
1.Heterogeneous foci are noted within bilateral thyroid lobes, with a left left focus demonstrating a mixture of both T2 hyperintense and hypointense contents measuring up to 14 mm. A dedicated thyroid ultrasound is recommended for further characterization, especially of the more heterogeneous, greater than 1 cm left thyroid nodule.2.C3/4: Mild central, severe left neural foraminal, and moderate right neural foraminal stenosis.3.C4/5: Mild central and severe bilateral neural foraminal stenosis.4.C5/6: Mild central and severe bilateral neural foraminal stenosis.5.C6/7: Severe bilateral neural foraminal stenosis.6.T1/2: Mild bilateral neural foraminal stenosis.7.T2/3: Mild bilateral neural foraminal stenosis.8.T3/4: Moderate right neural foraminal stenosis.9.T4/5: Mild right neural foraminal stenosis.