 Cervical spine alignment is within normal limits without sagittal subluxation. Vertebral body heights are grossly maintained without wedge compression deformities. Bone marrow signal is somewhat heterogenous without suspicious focal lesions. There is mild-moderate loss of disc height at C4-C5 and C5-C6. The cervical discs are desiccated. There is mild flattening of the mid cervical spinal cord most pronounced at C4-C5. There are no definite cord signal abnormalities.There is redemonstration of patchy increased T2 signal within the pons appearing grossly similar to 4/7/2015 MRI. A mildly prominent lymph node is present within the right upper mediastinum.C2-C3: No significant central canal or foraminal stenosis.C3-C4: No significant central canal or foraminal stenosis.C4-C5: Small posterior disc osteophyte complex with superimposed left paramedian disc protrusion resulting in mild flattening of the left ventral cord and mild central canal stenosis. Mild left foraminal stenosis.C5-C5: Small posterior disc osteophyte complex and uncovertebral osteophytes. No significant central canal stenosis. Mild right neuroforaminal stenosis.C6-C7: Small posterior disc osteophyte complex. Thickening of the ligamentum flavum. Mild flattening of the left ventral cord. Mild-moderate central canal stenosis. Mild left foraminal stenosis.C7-T1: No significant central canal or foraminal stenosis.
1.Degenerative changes of the cervical spine most pronounced at C4-C5 and C6-C7 where there is foraminal narrowing and mild-moderate central canal stenosis.2.Abnormal signal within the pons likely reflecting chronic small vessel ischemic changes appearing grossly similar to 4/7/2015 MRI.3.Mildly prominent nonspecific upper mediastinal lymph node. In the appropriate clinical setting, could be further evaluated with CT chest.