 There is stepwise trace grade 1 retrolisthesis of C4 on C5-6 and C7. There is also minimal grade 1 anterolisthesis of C7 on T1. The cervical spine is otherwise in normal alignment, with mild reversal of the normal cervical lordosis centered at C3-C4. The vertebral body heights are well-maintained. There is multilevel disc narrowing, moderate in degree at C3-C4 through C6-C7. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. At C2-C3, there is minimal left facet arthropathy and uncovertebral hypertrophy and mild left foraminal narrowing.At C3-C4, there is uncovering of the disc with a mild posterior osteophyte disk complex. There is right-sided uncovertebral hypertrophy with overall moderate-severe right and moderate left foraminal narrowing.At C4-C5, there is uncovering of the disc with a rightward predominant posterior osteophyte disk complex. Right-sided uncovertebral hypertrophy. There is resultant mild-moderate central spinal canal stenosis and severe right as well as mild-moderate left foraminal narrowing.At C5-C6, there is uncovering the disc with a diffuse posterior osteophyte disk complex and bilateral uncovertebral hypertrophy resulting in moderate-severe bilateral foraminal narrowing and mild central spinal canal stenosis. There is also ligamentum flavum thickening.At C6-C7, there is uncovering the disc with a superimposed posterior osteophyte disk complex with bilateral uncovertebral hypertrophy. There is moderate-severe bilateral foraminal narrowing.At C7-T1, there is uncovering of the disc with mild ligamentum flavum thickening and facet arthropathy.There is trace fluid in underpneumatized right mastoid air cells. There is a probable mucus retention cyst in the posterior nasopharynx.LUMBAR SPINE
1. Moderate multilevel cervical spondylotic changes including minimal degenerative subluxations with high-grade foraminal narrowing on the right at C3-C4 and C4-C5, bilaterally at C5-C6, and on the left at C6-C7.2. Prominent dextroscoliosis of the lumbar spine. No significant interval change in previously described multilevel lumbar spondylotic changes including multilevel degenerative subluxations, except for decreased prominence of disc pathology at L1-L2. No high-grade central spinal canal stenosis at any level, although there are multiple levels of persistent high-grade foraminal narrowing as detailed above.