Neck pain and increased clumsiness in her hands, as well as gait instability concerning for cervical myelopathy. There is multilevel degenerative spondylosis. At C2-3, there is a small right facet spur that slightly encroaches upon the neural foramen. At C3-4, there is facet and uncovertebral hypertrophy result in moderate to severe bilateral neural foraminal stenosis. A small posterior disc-osteophyte does not significantly narrow the spinal canal. At C4-5, there is on significant neural foraminal or spinal canal stenosis. At C5-6, there is severe bilateral neural foraminal stenosis due to facet and uncovertebral hypertrophy. A small posterior disc-osteophyte mildly effaces the anterior thecal cerebrospinal fluid space. At C6-7, there is bilateral facet and uncovertebral hypertrophy that results in moderate left and mild right neural foraminal narrowing. A small posterior disc-osteophyte mildly effaces the anterior thecal cerebrospinal fluid space. At C7-T1, there bilateral neural foramina are mildly effaced by facet joint hypertrophic changes. There is no spinal cord compression or signal abnormality in the cervical spine. The vertebral body heights are preserved. There is no significant spondylolisthesis. The vertebral bone marrow signal is unremarkable. The paraspinal soft tissues are unremarkable.
Multilevel degenerative spondylosis, as described in the findings section, but no evidence of spinal cord lesions.