 There is mild reversal of cervical lordosis. The vertebral body heights are preserved. There is desiccation of the disks at all levels in the cervical spine as noted before. There are mild type I degenerative changes at C6-7 endplates, mildly progressed from prior examination. There is mild type II degenerative change at inferior endplate of C5, without significant change. The osseous marrow signal is otherwise benign.  The cord signal is within normal limits. There is a partial empty sella of incidental note.C2-3: No disk herniation or spinal stenosis.C3-4: Disk osteophyte with tiny central disk protrusion and mild right uncovertebral hypertrophy with no significant spinal canal stenosis. Minimal right neural foraminal narrowing.C4-5: Disk osteophyte complex with left paracentral disk protrusion and right greater than left uncovertebral hypertrophy causing effacement of the ventral CSF space but slight indentation of the left aspect of the spinal cord without impingement. Minimal right neural foraminal stenosis.C5-6: Disk osteophyte complex with ventral CSF effacement. No spinal stenosis.C6-7: Disk osteophyte complex with minimal ventral CSF effacement. No spinal stenosis.C7-T1: No disk herniation or spinal stenosis.T1-2: No disk herniation or spinal stenosis.Level by level findings above are stable from prior examination.
Mildly progressed type I degenerative changes at the C6-7 endplates. Otherwise, multilevel degenerative findings are unchanged from 4/23/2014. No areas of high-grade spinal canal or neuroforaminal stenosis are suspected.