 The cervical and upper thoracic cord are normal in caliber and signal. The cervicomedullary junction is normal. Vertebral body heights and alignment are preserved. There is no evidence of fractures or subluxations. The bone marrow signal is benign. The visualized paraspinal structures are normal.C1/2: The atlantoaxial articulation appears normal.C2/3: There is no significant spinal canal or neural foraminal stenosis.C3/4: There is no significant spinal canal or neural foraminal stenosis.C4/5: There is mild disc bulge with minimal effacement of the anterior subarachnoid space. There is mild right uncovertebral hypertrophy with mild right neural foraminal narrowing.C5/6: There is a right paramedian disc protrusion with moderate narrowing of the spinal canal and severe narrowing of bilateral neural foramina.C6/7: There is a mild disc bulge with mild narrowing of the spinal canal. There is also mild bilateral uncovertebral and facet hypertrophy causing mild narrowing of the bilateral neural foramina.C7/T1: There is no significant spinal canal or neural foraminal stenosis.
1.Normal signal of the cervical cord without foci of demyelinating disease.2.Degenerative disease as described above with multilevel neural foraminal stenosis and moderate spinal canal stenosis, worst at C5/C6.