 There is slight reversal of upper cervical curvature. 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. Biphasic CSF flow is noted posteriorly at the level of the foramen magnum and cerebellar tonsils.A lobular 2-cm lesion is noted within the subcutaneous tissues of the left paramedian neck which appears heterogeneous on both T1 and T2 sequences. There is also nonspecific T2 hyperintensity within the inferior-most visualized aspect of the left thyroid lobe, which is incompletely visualized given cervical spine MRI acquisition technique. Otherwise the Visualized paraspinal contents are unremarkable.C2/3: UnremarkableC3/4: UnremarkableC4/5: Minimal posterior osteophyte disc complex and left uncinate hypertrophy. There is mild to moderate left neural foraminal stenosis.C5/6: Minimal posterior osteophyte disc complex and left uncinate hypertrophy. There is mild to moderate left neural foraminal stenosis.C6/7: Minimal posterior osteophyte disc complex and left uncinate hypertrophy. There is mild left neural foraminal stenosis.C7/T1: Unremarkable
1.A lobular 2-cm lesion is noted within the subcutaneous tissues of the left paramedian neck which appears heterogeneous on both T1 and T2 sequences most likely representing a sebaceous cyst.2.There is also nonspecific T2 hyperintensity within the inferior-most visualized aspect of the left thyroid lobe, which is incompletely visualized given cervical spine MRI acquisition technique.3.C4/5: Mild to moderate left neural foraminal stenosis.4.C5/6: Mild to moderate left neural foraminal stenosis.5.C6/7: Mild left neural foraminal stenosis.