 There is slight reversal of normal cervical curvature. There are no fractures. 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.Discogenic reactive endplate changes are evident at C4/5 and C5/6.C1/2: Ligament thickening partially effaces the anterior CSF, however without cord abutment and no resulting stenosis.C2/3: Trace anterolisthesis C2 on C3 and moderate bilateral facet hypertrophy. There is moderate bilateral neural foraminal stenosis.C3/4: Trace anterolisthesis C3 on C4, posterior osteophyte disc complex, and severe bilateral facet hypertrophy. There is severe left and moderate to severe right neural foraminal stenosis.C4/5: Trace retrolisthesis C4 on C5, posterior osteophyte disc complex, bilateral uncinate hypertrophy, and mild bilateral facet hypertrophy. There is mild central and severe bilateral neural foraminal stenosis.C5/6: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, moderate left facet hypertrophy, and mild right facet hypertrophy. There is mild central and severe bilateral neural foraminal stenosis.C6/7: Trace anterolisthesis C6 on C7, posterior osteophyte disc complex, and moderate bilateral facet hypertrophy. There are no significant stenoses.C7/T1: Trace anterolisthesis C7 on T1 and moderate bilateral facet hypertrophy. There are no significant stenoses.Facet hypertrophy is also noted involving the levels of the upper thoracic spine which encroach bilateral neural foramina, especially notable on the right at T2/3 where there is also trace 1 anterolisthesis of T2 on T3.
1.C2/3: Moderate bilateral neural foraminal stenosis.2.C3/4: Severe left and moderate to severe right neural foraminal stenosis.3.C4/5: Mild central and severe bilateral neural foraminal stenosis.4.C5/6: Mild central and severe bilateral neural foraminal stenosis.5.Facet hypertrophy is also noted involving the levels of the upper thoracic spine which encroach bilateral neural foramina, especially notable on the right at T2/3 where there is also trace 1 anterolisthesis of T2 on T3.