 The cervical spine is in normal alignment. The vertebral body heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. No abnormal enhancement. The spinal cord is of normal caliber and signal. Mild degenerative changes are seen with disc bulges at the C4-C5, C5-C6, and C6-C7 level with mild to moderate spinal canal stenosis at these levels. There is moderate right C4-C5 and mild right C5-C6 neural foraminal stenosis. Examination is somewhat motion degraded however no high-grade neural foraminal stenosis is appreciated. There is an approximately 3 cm right paratracheal nodule abutting the right thyroid lobe which is better seen on outside CT from 11/17/2015.LUMBAR SPINE
1. There are no suspicious lesions involving the cervical or lumbar spine. Bone scan or PET may be helpful to assess extent of osseous disease.2. Mild multilevel degenerative changes in the cervical and lumbar spine as described above.3. 3 cm paratracheal mass involving or adjacent to the right thyroid lobe. Recommend ultrasound for further delineation and excluding possibility of an enlarged lymph node.