 Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. Old ischemic changes are again identified within the right cerebellar hemisphere. Left supraclavicular adenopathy is no longer evident.C2/3: Mild posterior osteophyte disc complex, mild left facet hypertrophy, and moderate right facet hypertrophy. There is mild bilateral neural foraminal stenosis.C3/4: Posterior osteophyte disc complex, ligamentum flavum thickening, and bilateral uncinate hypertrophy. There is intrinsic abnormal T2 hyperintensity within the cord at this level, extending inferiorly, associated with focal cord atrophy. There is moderate central, moderate to severe left neural foraminal, moderate right neural foraminal stenosis.C4/5: Posterior osteophyte disc complex, ligamentum flavum thickening, and bilateral uncinate hypertrophy (right much greater than left). There is subtle intrinsic T2 hyperintensity within the cord as well as focal cord atrophy. There is mild central, moderate to severe left neural foraminal, and severe right neural foraminal stenosis.C5/6: Posterior osteophyte disc complex eccentric to the left causing anterior left hemicord flattening without intrinsic cord signal abnormality. There is also slight ligamentum flavum thickening and bilateral uncinate hypertrophy. There is no central stenosis, however there is moderate to severe bilateral neural foraminal stenosis.C6/7: Posterior osteophyte disc complex eccentric to the right causes anterior right hemicord flattening without intrinsic cord signal abnormality. There is also ligamentum flavum thickening and bilateral uncinate hypertrophy. There is borderline central, moderate severe left neural foraminal, and severe right neural foraminal stenosis.C7/T1: Posterior osteophyte disc complex, severe ligamentum flavum thickening (left greater than right), and endplate spurring. There is cord flattening anteriorly as well as posterolaterally (bilaterally) with effacement of CSF but no intrinsic cord signal abnormality. Overall, there is moderate central, severe left neural foraminal, and moderate right neural foraminal stenosis.T1/2: Bilateral facet hypertrophy encroaches bilateral neural foramina.
1.C2/3: Mild bilateral neural foraminal stenosis.2.C3/4: There is intrinsic abnormal T2 hyperintensity within the cord at this level, extending inferiorly, associated with focal cord atrophy, a pattern most suggestive of myelomalacia. There is moderate central, moderate to severe left neural foraminal, moderate right neural foraminal stenosis.3.C4/5: There is subtle intrinsic T2 hyperintensity within the cord as well as focal cord atrophy, a pattern most suggestive of myelomalacia. There is mild central, moderate to severe left neural foraminal, and severe right neural foraminal stenosis.4.C5/6: Moderate to severe bilateral neural foraminal stenosis.5.C6/7: Borderline central, moderate severe left neural foraminal, and severe right neural foraminal stenosis.6.C7/T1: Moderate central, severe left neural foraminal, and moderate right neural foraminal stenosis.7.T1/2: Bilateral facet hypertrophy encroaches bilateral neural foramina.