 Images are somewhat limited by patient motion. The cervical spine is in normal alignment, with a normal cervical lordosis. There is minimal disc narrowing at C5-C6. The vertebral body heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. There is no pathological enhancement.There is abnormal T2 hyperintensity within the cord in an ill-defined manner from C5-C6 and C6-C7, with significant deformity of the cord due to degenerative changes as detailed below.At C2-C3, there is no significant disk pathology or stenosis. There is mild uncovertebral hypertrophy.At C3-C4, there is a mild posterior osteophyte disk complex with minimal left uncovertebral hypertrophy. There is minimal left foraminal narrowing and mild central spinal canal stenosis.At C4-C5, there is a mild posterior osteophyte disk complex. There is mild left facet arthropathy with overall moderate left foraminal narrowing with mild-moderate central spinal canal stenosis.At C5-C6, there is a diffuse posterior osteophyte disk complex with superimposed central/right paracentral disc protrusion which deforms the right ventral cord. There is right greater than left uncovertebral hypertrophy protruding to overall moderate central spinal canal stenosis as well as moderate-severe right and moderate left foraminal narrowing. There is also bilateral ligamentum flavum thickening.At C6-C7, there is a diffuse posterior osteophyte disk complex with significant bilateral facet arthropathy and ligamentum flavum thickening. There is moderate-severe right and moderate left foraminal narrowing with significant deformity of the cord and overall moderate-severe central spinal canal stenosis.At C7-T1, there is no significant disk pathology or stenosis.Sagittal images suggest minimal left paracentral/foraminal disc protrusion at T2-T3 and a small left paracentral protrusion at T3-T4.There is prominent retropharyngeal effusion spanning C1-C2 level down to at least the lower T2 level. This measures up to 10 mm in greatest thickness.
1.Prominent retropharyngeal effusion of uncertain etiology spanning C1-C2 to at least lower T2, not present on prior comparison CT. Please correlate clinically.2.Moderate cervical spondylotic changes worst at C5-C6 and C6-C7, where there is up to moderate as well as moderate-severe central spinal canal stenosis as well as abnormal cord signal with deformity likely relating to chronic compression and myelomalacia. Also moderate-severe right foraminal narrowing at these levels.