 There is straightening of the cervical spine, otherwise alignment is within normal limits. There is a normal relationship of the dens with the arch of C1. There is no acute fracture or pre-vertebral soft tissue swelling. Low T1 signal throughout the vertebral bodies likely reflects red marrow. Multilevel disc desiccation without significant disc space loss. No abnormal signal within the visualized cord.C2-C3: No significant disc disease. No spinal canal or neural foraminal stenosis.C3-C4: Small central protrusion with minimal effacement of the ventral thecal sac. Mild uncovertebral joint arthropathy. Mild bilateral neural foraminal narrowing. C4-C5: No significant disc disease. No spinal canal stenosis. Mild uncovertebral joint arthropathy. Mild bilateral neural foraminal narrowing.C5-C6: No significant disc disease. No spinal canal or neural foraminal stenosis. C6-C7: There is an eccentric right paracentral disc extrusion which is slightly decreased in size compared to the prior exam, with stable 8 mm of superior migration. There is effacement of the right lateral recess and flattening of the hemicord, mildly improved. Moderate right neural foraminal stenosis is unchanged. No left neural foraminal stenosis.C7-T1: No significant disc disease. No spinal canal or neural foraminal stenosis.
1.Eccentric right paracentral disc extrusion at C6-C7 is slightly decreased in size with mild improvement in effacement of the ventral thecal sac and mass effect on the cord. Resultant moderate right neural foraminal stenosis is unchanged.2.Small central protrusion at C3-C4 is stable.