History of C5 fracture. Neck pain. There is reversal of cervical lordosis. Chronic wedging deformity of C5 and C6 vertebrae is present. There is extensive degenerative disease of the cervical spine. At C2 - C3 intervertebral level, there are facet arthropathic changes. At C3 - C4 intervertebral level, there are facet and uncovertebral joint arthropathic changes. There is disk protrusion causing spinal canal stenosis. At C4 - C5 intervertebral level, there is disc-osteophyte complex, causing spinal canal stenosis. There are degenerative changes of the uncovertebral joints and facet joints, causing bilateral neural frontal narrowing which is greater on the left. At the C5 - C6 intervertebral level, there is posterior disc-osteophyte complex, causing spinal canal stenosis. There is facet and uncovertebral joint degenerative disease, causing bilateral neuroforaminal narrowing, greater on the right. At the C6-C7 intervertebral level, there is posterior disc-osteophyte complex, causing spinal canal stenosis. There is facet and uncovertebral joint degenerative disease, causing bilateral neuroforaminal narrowing.The thyroid glands appear enlarged, with nodularity and calcifications.
1. Degenerative disease of the cervical spine as described above. Please also refer to MRI of the cervical spine findings for further correlation.2. Enlarged thyroid glands, with nodules and calcifications. This may represent goiter, but malignancy is difficult to be excluded. Please also correlate with thyroid imaging study and other clinical parameters.