 There is mild straightening of the normal cervical lordosis which remains unchanged. Minimal C5 on C6 retrolisthesis is not significantly changed. The vertebral body heights are preserved. Cervical cord is normal in signal and morphology. Ligamentous structures are intact. Degenerative changes are again seen in the cervical spine with moderate loss of disc height at the C5-C6 level with mild loss of disc height at the C4-C5 level. Associated endplate marrow changes are seen which are predominantly fatty involving the inferior aspect of C4 and edematous involving the C5 and C6 levels. These are not significantly changed. Small central disk protrusion and annular fissure is present at C3-4. Mild spinal canal stenosis is again noted at C4/C5 and C5/C6 secondary to posterior disk-osteophyte complexes and uncovertebral joint hypertrophy. There is thickening of the ligamentum flavum at C5-C6. There is stable mild neuroforaminal narrowing bilaterally at C4/C5 and stable moderate neural foraminal narrowing bilaterally at C5/C6. Paraspinous soft tissues are unremarkable.
1.No abnormal signal within the cord.2.Unchanged degenerative changes in the cervical spine worst at the C4-C5 and C5-C6 levels with mild spinal canal stenosis and mild to moderate neural foraminal narrowing.