 There are multilevel various degree degenerative changes of the cervical spine with exaggerated cervical lordosis. Multilevel anterior osteophytes are seen. The marrow signal is heterogenous. In particular, the C6 inferior endplate and C7 superior endplate show T1 and T2 hypointensity suggestive of sclerotic changes. There is no evidence of Gad enhancement of the vertebral bodies.C2-C3: There is trace disc bulge with no neural foraminal or spinal cord compromise.C3-C4: No spinal or foraminal compromise.C4-C5: There is diffuse disc bulge with minimal to mild spinal canal stenosis and no neural foraminal compromise.C5-C6: There is diffuse disc bulge with mild spinal canal stenosis. There is right-sided mild to moderate neural foraminal stenosis and mild left-sided neural foraminal stenosis.C6-C7: There is mild disc bulge without evidence of spinal stenosis. No neural foraminal compromise.C7-T1: No neural foraminal or spinal compromise.There are multiple areas of disc bulge in the upper thoracic spine with no evidence of spinal stenosis.Note is made of bulla in the right apex.
1. No evidence of abnormal enhancement or focal abnormal signal intensity lesion on cervical vertebral bodies suggesting metastatic disease.2. Multilevel degenerative changes including mild to moderate right neural foraminal stenosis and mild left-sided neural foraminal stenosis at the level of C56 with mild spinal stenosis3. Diffuse disc bulging with minimal to mild spinal stenosis at the level of C4-C5.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.