 There is mild retrolisthesis of C5 on C6, measuring approximately 4 mm. There is mild loss of disc height and endplate degenerative changes at C5-C6. The vertebral body heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. There is no pathological enhancement. Incidentally noted are emphysematous changes of the partially imaged lung apices with scarring or spiculated lesion at the left apex. The right thyroid lobe is mildly enlarged.C2-C3: No significant disc bulge, spinal canal or foraminal stenosis.C3-C4: Small left uncinate spur, contributing to mild left foraminal narrowing. No significant disc bulge, spinal canal or right foraminal stenosis.C4-C5: Left paracentral shallow disc protrusion and minimal uncinate spur, contributing to minimal left foraminal stenosis. No significant spinal canal stenosis or right foraminal stenosis.C5-C6: Mild retrolisthesis of C5 on C6 with mild bilateral uncinate spurs, contributing to mild bilateral foraminal stenosis. No significant spinal canal stenosis.C6-C7: No significant disc bulge, spinal canal or foraminal stenosis. C7-T1: No significant disc bulge, spinal canal or foraminal stenosis.
1. Mild degenerative cervical spondylosis, most prominent at C5-C6, with mild bilateral foraminal stenosis. No significant spinal canal stenosis. 2. Partially imaged biapical emphysematous changes with incompletely evaluated scarring versus spiculated lesion at the left lung apex. In light of clinical history, CT chest is recommended to exclude neoplasm.Findings discussed with Dr. Schipper by Dr. Judy Wu on 3/25/2015 at the time of dictation. 