 Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The cervical and upper thoracic cord are normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: UnremarkableC3/4: UnremarkableC4/5: Posterior osteophyte disc complex, left uncinate hypertrophy, ligamentum flavum thickening, and left facet hypertrophy. There is minimal central and mild left neural foraminal stenosis.C5/6: There is a right paracentral disc protrusion causing anterior right hemicord flattening without intrinsic cord signal abnormality. There is also ligamentum flavum thickening. There is mild central stenosis, however there is no neural foraminal stenosis.C6/7: Posterior osteophyte disc complex and ligamentum flavum flavum thickening. There are no significant stenoses.C7/T1: Unremarkable
1.C4/5: Minimal central and mild left neural foraminal stenosis.2.C5/6: There is a right paracentral disc protrusion causing anterior right hemicord flattening without intrinsic cord signal abnormality. There is mild central stenosis, however there is no neural foraminal stenosis.