 There are no fractures. 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.Multilevel disc desiccation and degenerative discogenic reactive endplate changes are noted.C2/3: Left facet hypertrophy causes minimal left neural foraminal stenosis.C3/4: Trace anterolisthesis C3 on C4, mild posterior osteophyte disc complex, and left facet hypertrophy with a small left facet effusion. There is mild left neural foraminal stenosis.C4/5: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, ligamentum flavum thickening, and left facet hypertrophy. There is minimal central, moderate to severe left neural foraminal, and moderate right neural foraminal stenosis.C5/6: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, and left facet hypertrophy. There is severe left neural foraminal and moderate right neural foraminal stenosis.C6/7: Posterior osteophyte disc complex and bilateral uncinate hypertrophy. There is mild left neural foraminal stenosis.C7/T1: UnremarkableT1/2: Posterior osteophyte disc complex and bilateral facet hypertrophy contribute to bilateral foraminal encroachment.T2/3: Disc bulge and bilateral facet hypertrophy contribute to right foraminal encroachment.T3/4: Left facet hypertrophy contributes to left foraminal encroachment.
1.C2/3: Minimal left neural foraminal stenosis.2.C3/4: Mild left neural foraminal stenosis.3.C4/5: Minimal central, moderate to severe left neural foraminal, and moderate right neural foraminal stenosis.4.C5/6: Severe left neural foraminal and moderate right neural foraminal stenosis.5.C6/7: Mild left neural foraminal stenosis.6.T1/2: Bilateral foraminal encroachment.7.T2/3: Right foraminal encroachment.8.T3/4: Left foraminal encroachment.