 Cervical spine:There is slight reversal of upper cervical curvature. There are no fractures or subluxations. The marrow signal is benign. The cervical cord is normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The left thyroid lobe is only partially imaged, yet appears signal heterogeneous and enlarged with slight displacement of the airway right laterally. This most likely represents goiter which could be more thoroughly evaluated with a neck CT.C2/3: Posterior osteophyte disc complex and bilateral facet hypertrophy. There is mild bilateral neural foraminal stenosis.C3/4: Posterior osteophyte disc complex, uncinate hypertrophy, and facet hypertrophy. There is mild central and moderate to severe bilateral neural foraminal stenosis.C4/5: Posterior osteophyte disc complex with an extruded disc component (extending superiorly). There is also bilateral uncinate hypertrophy and facet hypertrophy. There is mild-to-moderate central and moderate to severe bilateral neural foraminal stenosis. There is subtle T2 cord hyperintensity suggestive of myelopathy.C5/6: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, and facet hypertrophy. There is mild left neural foraminal and severe right neural foraminal stenosis.C6/7: Posterior osteophyte disc complex without stenosis.C7/T1: Minimal disc bulge without stenosis.Thoracic spine:There is a smooth, physiologic thoracic kyphotic curve. The vertebral body heights and disc spaces are maintained. Marrow signal intensity is benign throughout. T1/2 demonstrates facet hypertrophy and mild bilateral neural foraminal stenosis.T2/3 demonstrates left facet hypertrophy and mild left neural foraminal stenosis.T3/4 demonstrates facet hypertrophy with moderate left and severe right neural foraminal stenosis.T4/5 demonstrates left facet hypertrophy with moderate to severe left neural foraminal stenosis.T5/6 demonstrates left facet hypertrophy with moderate left neural foraminal stenosis.T6/7 demonstrates left facet hypertrophy with mild to moderate left neural foraminal stenosis. There is also a small central disc protrusion causing anterior cord flattening without intrinsic cord signal abnormality.T7/8 demonstrates a small right paracentral disc protrusion causing slight anterior hemicord flattening without intrinsic cord signal abnormality.T8/9 demonstrates disc bulge and facet hypertrophy. There is slight anterior hemicord flattening without intrinsic cord signal abnormality. There is severe bilateral neural foraminal stenosis.T9/10 demonstrates a small right paracentral disc protrusion causing minimal anterior right hemicord flattening without intrinsic cord signal abnormality. There is also facet hypertrophy. There is mild bilateral neural foraminal stenosis.T10/11 demonstrates disc bulge and herniation causing deformation of the spinal cord with associated intrinsic T2 cord signal abnormality suggestive of myelopathy. There is also facet hypertrophy. There is severe central and mild bilateral neural foraminal stenosis.T11/12 demonstrates asymmetric bulge to the right causing mild left and moderate right neural foraminal stenosis.T12/L1 demonstrates disc bulge and bilateral facet hypertrophy. There is mild bilateral neural foraminal stenosis.
1.The left thyroid lobe is only partially imaged, yet appears signal heterogeneous and enlarged with slight displacement of the airway right laterally. This most likely represents goiter which could be more thoroughly evaluated with a neck CT.2.Multilevel cervical spine stenoses, worse at C4/5 where there is posterior osteophyte disc complex including an extruded disc component (extending superiorly). There is mild-to-moderate central and moderate to severe bilateral neural foraminal stenosis. There is subtle T2 cord hyperintensity suggestive of myelopathy.3. Multilevel thoracic spine stenoses, worse at T10/11 where disc bulge and herniation cause deformation of the spinal cord with associated intrinsic T2 cord signal abnormality suggestive of myelopathy. There is severe central and mild bilateral neural foraminal stenosis.