 The vertebral column alignment is within normal limits. The vertebral bone marrow signal is unremarkable. The spinal cord displays normal signal. There are thyroid nodules bilaterally.C2-C3: There is no significant disc disease, spinal canal, or neural foramen narrowing.C3-C4: There is minimal uncovertebral joint arthropathy without significant spinal canal or neural foramen narrowing.C4-C5: There is mild uncovertebral arthropathy and central disc osteophyte complex which indents the ventral thecal sac and results in mild spinal canal stenosis. There is no significant neural foramen narrowing.C5-C6: There is mild bilateral uncovertebral joint arthropathy as well as a left paracentral disc osteophyte complex which indents the thecal sac and results in mild spinal canal stenosis. There is no significant neural foramen stenosis. C6-C7: There is minimal bilateral uncovertebral arthropathy without significant spinal canal or neural foraminal narrowing.C7-T1: There is no significant disc disease, spinal canal, or neural foraminal narrowing.
1.Mild cervical spine degenerative changes are relatively worst at the C4-C5 and C5-C6 levels where there is mild spinal canal stenosis.2.Multiple bilateral thyroid nodules which can be further characterized with thyroid ultrasound as clinically indicated.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.