 Straightening of the cervical spine is seen. There is surgical fusion at C6-C7. There is nonspecific heterogenous marrow signal. T2 high signal due to endplate degenerative changes is seen at C5-C6.C2-C3: Shallow central disc protrusion with no spinal or foraminal compromise.C3-C4: Broad based posterior disc-osteophyte complex with mild spinal stenosis and bilateral mild-moderate foraminal stenosis. There is hypertrophy of the left uncovertebral joint.C4-C5: There is a posterior disc-osteophyte complex and a right paracentral prominence of the disc. There is moderate spinal stenosis with flattening of the right ventral cord and moderate bilateral foraminal stenosis. There is hypertrophy of the right greater than left uncovertebral joint.C5-C6: Moderate posterior disc-osteophyte complex with mild spinal stenosis. There is moderate to severe left foraminal stenosis and moderate right foraminal stenosis.C6-C7: Previous fusion, with no spinal canal stenosis or foraminal narrowing.C7-T1: There is minimal posterior disc-osteophyte complex with no spinal compromise. Mild right foraminal narrowing.There is prominence of the central canal within the visualized cervical cord, measuring up to 2 mm. This extends beyond the lowest visualized T2-T3 level.
1. Mild moderate degenerative disc disease of the cervical spine as described above. Up to moderate central spinal stenosis at C4-C5. Worst foraminal stenosis is seen on the left at C5-C6 where it is moderate-severe in degree. No significant interval change from prior exam.2. Stable appearance of trace prominence of the spinal canal within the cervicothoracic cord, extending beyond the visualized T2-T3 level. Dedicated MR of the thoracic spine may be obtained as clinically indicated.