Neck pain and headache Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is mild straightening as well as mild retrolisthesis of C5 on C6 similar to prior. Alignment is otherwise maintained. Bone marrow signal is benign.The cervical spinal cord has normal signal characteristics and overall morphology.Mild degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: Minimal central protrusion. No significant compromise to the spinal canal or neural foramina.C4-5: Posterior disc osteophyte complex which effaces the ventral thecal sac. Disc bulge component is slightly more prominent than on prior from 10/21/2013. Patent dorsal thecal sac. Overall no significant spinal canal or neural foraminal stenosis.C5-6: Posterior disc osteophyte complex effaces the ventral thecal sac and minimally indents the ventral cord. There is also mild ligamentum flavum thickening. There is overall minimal spinal canal stenosis which appears minimally worse, but this may be related to slight differences in head position. Mild uncovertebral hypertrophy. No significant neural foraminal stenosis.C6-7: Minimal posterior disc osteophyte complex which partially effaces the ventral thecal sac. Mild uncovertebral hypertrophy. No significant spinal canal or neural foraminal stenosis.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits. Tiny left inferior thyroid nodule appears similar to prior.
Mild degenerative changes in the cervical spine which are minimally worse in the interval at C4-C5 and C5-C6 compared to 10/21/2013. There is however no significant spinal canal or neural foraminal stenosis at any level.