 There is trace grade 1 anterolisthesis of C2 on C3 which is unchanged. The cervical spine is otherwise in normal alignment, with persistent prominent reversal of the normal cervical lordosis which may be positional in etiology. There is minimal disc narrowing at C5-C6. The vertebral body and disk heights are otherwise well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal.At C3-C4, there is a trace disc bulge without stenosis.At C5-C6, there is a shallow central/right paracentral disc protrusion which abuts the right ventral cord with mild contour deformity. There is mild central spinal canal stenosis.At C6-C7, there is a minimal left paracentral/foraminal disc osteophyte which results in moderate left foraminal narrowing, slightly progressed.There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the remainder of the cervical spine. There is apparent slightly ill-defined T1 isointense and mildly T2/STIR hyperintense signal in the expected location of the hypothalamus, abutting the anterior margin of the mamillary body and posterior margin of the optic chiasm. Prior MRI and concurrent CT imaging does not include this area within the field-of-view.
1.Subtle interval progression of left paracentral/foraminal disc osteophyte at C6-C7 resulting now moderate left foraminal narrowing.2.Persistent central/right paracentral disc protrusion at C5-C6 mild central spinal canal stenosis. There is abutment of the right ventral cord likely impingement upon the right ventral C6 nerve root.3.Questioned area of abnormal signal in the region of the hypothalamus, although this could be artifactual in etiology. Dedicated MRI brain with and without contrast recommended for further evaluation. This area is not included within the field-of-view on prior cervical imaging.