Numbness on right side Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained . Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.Degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: Minimal disc osteophyte complex. No significant compromise to the spinal canal or left neural foramen. Minimal right neural foraminal narrowing.C4-5: Disc osteophyte complex including a central disc protrusion which contacts the ventral cord. There is mild to moderate degree of spinal canal stenosis. There is mild to moderate right and no significant left neural foraminal stenosis.C5-6: Small disc osteophyte complex including small central disc protrusion with mild spinal canal stenosis and no significant left neural foraminal stenosis. Mild right neural foraminal narrowing.C6-7: There is a central/right central disc extrusion with 8 mm caudal migration. Herniation also erodes into the posterior superior corner of the C7 vertebral body. Disc material contacts the ventral cord. There is mild to moderate degree of spinal canal stenosis at this level. Neural foramina are patent.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits. There is heterogeneous appearance of the thyroid gland with a nodule in the right measuring up to 15 mm.
1. Multilevel degenerative changes in the cervical spine including a right central disc extrusion at the C6-C7 level. There is mild to moderate degree of spinal canal stenosis at the C4-C5 and C6-C7 levels where the disc herniations mildly indent the ventral cord. No cord signal abnormality. Additional details as above.2. Heterogeneous thyroid gland with 15 mm nodule involving the right thyroid lobe.