Female, 38 years old, with pain in the C7 distribution, mild slowing on EMG. Straightening of the cervical lordosis may be positional. Sagittal alignment is otherwise unremarkable.Vertebral body height and morphology are normal. No concerning marrow replacement or evidence of marrow edema is seen.Visualized spinal cord shows normal signal intensity and morphology throughout.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: Mild right foraminal narrowing secondary to slight uncovertebral and facet hypertrophy. No spinal canal stenosis. C4-5: No spinal canal stenosis or neuroforaminal narrowing. C5-6: Posterior disc-osteophyte complex with a focal component in the right foraminal zone resulting in a severe right foraminal stenosis. The disc osteophyte slightly flattens the ventral cord, but no significant spinal canal stenosis is seen. C6-7: Uncovertebral hypertrophy resulting in mild to moderate bilateral foraminal stenosis. No spinal canal stenosis. C7-T1: Mild to moderate foraminal narrowing is seen largely due to facet hypertrophy. No significant spinal canal stenosis. A large and very heterogeneous lesion is evident within the left thyroid lobe. The right thyroid lobe contains smaller heterogeneous lesions as well. Corresponding lesions were noted on a prior ultrasound, though at least the left-sided lesion seems to have increased in size.
1.Focal disc and osteophyte disease is seen within the right C5-6 foraminal zone result in a severe stenosis of the right C5-6 neural foramen.2.Scattered additional areas of mild to moderate foraminal narrowing are seen as detailed above.3.No areas of high-grade spinal canal stenosis are detected.4.Bilateral thyroid lesions are noted incidentally with some questionable increase in size on the left when compared to a thyroid ultrasound from 2005.