 Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The cervical and upper thoracic cord are normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: UnremarkableC3/4: Posterior osteophyte disc complex, left uncinate hypertrophy, and left facet hypertrophy. There is severe left neural foraminal stenosis.C4/5: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, and left facet hypertrophy. There is moderate left neural foraminal stenosis.C5/6: Posterior osteophyte disc complex eccentric to the left causing anterior left hemicord flattening, as well as associated left hemicord T2 hyperintensity of myelomalacia. There is also bilateral uncinate hypertrophy and slight ligamentum flavum thickening. There is mild central canal stenosis, although more moderate focally leftward, as well as moderate to severe bilateral neural foraminal stenosis.C6/7: Posterior osteophyte disc complex causes anterior cord flattening without intrinsic cord signal abnormality. There is also bilateral uncinate hypertrophy and ligamentum flavum thickening. There is mild-to-moderate central, severe left neural foraminal, and moderate to severe right neural foraminal stenosis.C7/T1: Unremarkable
1.C3/4: Severe left neural foraminal stenosis.2.C4/5: Moderate left neural foraminal stenosis.3.C5/6: Left hemicord T2 hyperintensity of myelomalacia. There is mild central canal stenosis, although more moderate focally leftward, as well as moderate to severe bilateral neural foraminal stenosis.4.C6/7: Mild-to-moderate central, severe left neural foraminal, and moderate to severe right neural foraminal stenosis.