 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. The visualized paraspinal contents are unremarkable.C2/3: Left facet hypertrophy causes minimal left neural foraminal stenosis.C3/4: Mild posterior osteophyte disc complex and left uncinate hypertrophy causing minimal left neural foraminal stenosis.C4/5: Posterior osteophyte disc complex causes slight anterior and anterior cord without intrinsic cord signal abnormality. There is also ligamentum flavum thickening and bilateral uncinate hypertrophy. There is mild central, moderate to severe left neural foraminal, and moderate right neural foraminal stenosis.C5/6: Posterior osteophyte disc complex and left uncinate hypertrophy. There is mild to moderate left neural foraminal stenosis.C6/7: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, and ligamentum flavum thickening. There is mild bilateral neural foraminal stenosis.C7/T1: Trace anterolisthesis C7 on T1, minimal disc bulge, and bilateral facet hypertrophy. There is mild to moderate bilateral neural foraminal stenosis.Facet hypertrophy is noted of the visualized upper thoracic spine which encroach the leftward neural foramina at T1/2 and T2/3.
1.C2/3: Minimal left neural foraminal stenosis.2.C3/4: Minimal left neural foraminal stenosis.3.C4/5: Mild central, moderate to severe left neural foraminal, and moderate right neural foraminal stenosis.4.C5/6: Mild to moderate left neural foraminal stenosis.5.C6/7: Mild bilateral neural foraminal stenosis.6.C7/T1: Mild to moderate bilateral neural foraminal stenosis.7.Facet hypertrophy is noted of the visualized upper thoracic spine which encroach the leftward neural foramina at T1/2 and T2/3. If the patient has symptoms referable to the thoracic spine, dedicated thoracic MRI would be recommended if deemed clinically beneficial.