 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: There is a tiny midline disc protrusion which causes slight anterior midline flattening without intrinsic cord signal abnormality. There are no significant stenoses.C4/5: Posterior osteophyte disc complex as well as ligamentum flavum thickening. There is mild central and mild bilateral neural foraminal stenosis.C5/6: There is a large left paracentral disc extrusion which extends both above and below the disc level, compressing the cord resulting in intrinsic cord T2 hyperintensity and severe leftward central stenosis. There is also uncinate hypertrophy and facet hypertrophy resulting in severe bilateral neural foraminal stenosis.C6/7: Minimal posterior osteophyte disc complex and uncinate hypertrophy without significant stenosis.C7/T1: Right facet hypertrophy causes moderate right neural foraminal stenosis.
1.C3/4: There is a tiny midline disc protrusion which causes slight anterior midline flattening without intrinsic cord signal abnormality.2.C4/5: Mild central and mild bilateral neural foraminal stenosis.3.C5/6: There is a large left paracentral disc extrusion which extends both above and below the disc level, compressing the cord resulting in intrinsic cord T2 hyperintensity and severe leftward central stenosis. There is also severe bilateral neural foraminal stenosis secondary to spondylitic changes.4.C7/T1: Moderate right neural foraminal stenosis.