 There is mild straightening of the cervical spine, similar to prior examination. There is minimal retrolisthesis of C5 on C6, which are likely degenerative in etiology. The vertebral body heights are well-maintained. There is progression of loss of disc height and disc desiccation throughout the cervical spine with moderate to severe loss of disc height at C5-C6 and C6-C7 and mild to moderate loss of disc height at the remaining levels. The bone marrow signal is mildly heterogeneous. The spinal cord is of normal caliber and signal. Prominence of the thyroid gland is again noted.C2-C3: Left greater than right facet arthropathy. No significant disc bulge, spinal canal or foraminal stenosis.C3-C4: Posterior disc osteophyte complex, thickening of the ligamentum flavum, bilateral uncovertebral hypertrophy and facet arthropathy, contributing to mild spinal canal narrowing and mild bilateral neural foraminal stenosis. Mild progression of spinal canal stenosis. No change in neuroforaminal narrowing.C4-C5: Posterior disc osteophyte complex, thickening of the ligamentum flavum, bilateral uncovertebral hypertrophy and facet arthropathy, contributing to mild spinal canal narrowing and mild right and moderate left neural foraminal stenosis. No significant change in spinal canal or neuroforaminal stenosis.C5-C6: Posterior disc osteophyte complex, thickening of the ligamentum flavum, bilateral uncovertebral hypertrophy and facet arthropathy, contributing to mild spinal canal narrowing and mild to moderate bilateral neural foraminal stenosis. No significant change in spinal canal or neuroforaminal stenosis.C6-C7: Posterior disc osteophyte complex, thickening of the ligamentum flavum, bilateral uncovertebral hypertrophy and facet arthropathy, contributing to mild spinal canal narrowing and minimal bilateral neural foraminal stenosis. No significant change in spinal canal or neuroforaminal stenosis.C7-T1: Posterior disc osteophyte complex, thickening of the ligamentum flavum, bilateral uncovertebral hypertrophy and facet arthropathy. No significant spinal canal stenosis or neural foraminal stenosis.
Image quality is degraded by motion artifact. Degenerative cervical spondylosis, most prominent at C5-C6, with unchanged mild to moderate bilateral neural foraminal stenosis. Progression of degenerative disc disease at with mild progression of stenosis at C3-4 as described above. Variable multilevel neural foraminal stenoses are not significantly changed.  