 Vertebral body heights are well-maintained. Again noted is a significant signal abnormality of the vertebral bodies of C5, C6, and C7, likely related to the underlying degenerative changes. No evidence of acute fracture or traumatic subluxation. No abnormal cervical spinal cord signal or lesions. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C1/2: No significant central spinal canal stenosis.C2/3: No significant central spinal canal stenosis.C3/4: Mild facet arthropathy without evidence of significant foraminal or central spinal canal stenosis.C4/5: Mild to moderate facet arthropathy and uncovertebral hypertrophy results in moderate bilateral neural foraminal narrowing. No significant central spinal canal stenosis.C5/6: Mild central disk bulge as well as facet arthropathy resulting in severe left neural foraminal narrowing and moderate right neural foraminal narrowing. No significant central spinal canal stenosis. C6/7: Facet arthropathy resulting in severe bilateral neural foraminal narrowing without significant central spinal canal stenosis.C7/T1: Persistent grade 1 anterolisthesis of C7 over T1. Facet arthropathy results in moderate bilateral neural foraminal narrowing. No significant central spinal canal stenosis.T1/T2: Facet arthropathy and uncovertebral hypertrophy results in moderate left neural frontal narrowing. No significant central spinal canal stenosis.
1.No evidence of lesions within the cervical spine to suggest multiple sclerosis as clinically questioned.2.Multilevel degenerative changes with neural foraminal narrowing as above.