Cervical spondylosis. Hand paresthesias and leg spasticity. The vertebral column is mildly straightening in the sagittal plane. The vertebral body heights are preserved. There is moderate spondylosis with disc-osteophyte complexes from C3/4 to C6/7 with Modic type II endplate signal changes. Otherwise, the vertebral bone marrow signal is unremarkable. There is overall moderate spinal canal and bilateral neural foramen stenosis from C3/4 to C6/7, with mild indentation of the spinal cord at some of these levels, but no abnormal spinal cord signal. The paravertebral soft tissues are unremarkable. There appear to be a Thornwaldt cyst and an adenoid retention cyst. There is a T2 hyperintense ovoid lesion in the right tracheoesophageal groove that measures up to 12 mm. There is an occipital scalp lipoma that measures up to 5 mm in thickness. There are punctate defects in the inferior right cerebellar hemisphere, which may represent chronic infarcts.
1. Multilevel degenerative cervical spondylosis with overall moderate spinal canal and bilateral neural foramen stenosis from C3/4 to C6/7.2. An ovoid lesion in the right tracheoesophageal groove that measures up to 12 mm may represent an exophytic thyroid nodule or parathyroid adenoma. A thyroid ultrasound may be useful for further characterization.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.