Radicular pain down the right arm. There is mild reversal of the normal cervical spine lordosis centered at C3-4 without evidence of subluxation. The vertebral body heights are well-maintained. The spinal cord displays normal signal. There is multilevel degenerative spondylosis. At C2-3, there is mild bilateral facet arthropathy, but no significant spinal canal or neural foraminal stenosis. At C3-4, there is a posterior disc osteophyte complex with flattening of the ventral spinal cord, as well as right greater than left facet arthropathy and uncovertebral hypertrophy, as well as moderate right and mild left neural foraminal stenosis. At C4-5, central posterior disc osteophyte complex contacting the ventral aspect of the spinal cord, as well as left greater than right facet arthropathy and uncovertebral hypertrophy, with marked left and mild right neural foraminal stenosis. At C5-6, there is moderate central posterior disc osteophyte complex that abuts the ventral aspect of the spinal cord. In addition, bilateral facet arthropathy and uncinate hypertrophy result in marked right and moderate left neural foraminal stenosis. At C6-7, there is moderate central posterior disc osteophyte complex contacting the ventral aspect of the spinal cord. In addition, there is bilateral facet and uncinate hypertrophy with marked right and moderate left neural foraminal stenosis. At C7-T1, there is mild central disc osteophyte complex without significant spinal canal stenosis. In addition, there is moderate bilateral facet arthropathy with marked right and mild left neural foraminal stenosis. There is enlargement of the thyroid gland with multiple nodules, which appears grossly similar to prior exams, accounting for differences in technique. The paravertebral soft tissues are otherwise unremarkable.
1. Multilevel advanced degenerative cervical spondylosis with indentation upon the spinal cord at the C3-4 through C6-7 levels due to disc-osteophyte complexes, as well as multilevel neural foraminal stenoses of varying degrees, particularly on the right side at the C5-6, C6-7, and C7-T1 levels, and on the left side at C4-5.2. Incompletely evaluated enlarged thyroid gland with multiple nodules. Correlation could be made with dedicated ultrasound examination, as clinically indicated.