 There is reversal of normal cervical lordosis with smooth kyphosis with apex at C5. There are no fractures or subluxations. Vertebral body heights are maintained. Degenerative changes are noted from C2-C3 through C6-C7. 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: There is mild bilateral neural foraminal narrowing. There is no significant spinal canal stenosis.C3/4: There is mild bilateral neural foraminal narrowing. There is a small posterior disk osteophyte complex without significant spinal canal stenosis.C4/5: There is mild bilateral neural foraminal narrowing and posterior disk osteophyte complex. There is no significant spinal canal narrowing.C5/6: There is moderate bilateral neural foraminal narrowing relatively worse on the left related to uncovertebral hypertrophy. Small posterior disk osteophyte complex with mild spinal canal narrowing.C6/7: There is severe bilateral neural foraminal narrowing related to uncovertebral hypertrophy. There is a small posterior disk osteophyte complex with mild spinal canal narrowing.C7/T1: There is mild bilateral neural foraminal narrowing. No significant spinal canal narrowing.
Bilateral neural foraminal narrowing most significant at the C5-6 and C6-C7 levels as detailed above.Mild spinal canal narrowing at C5-C6 and C6-C7 related to kyphotic angulation and small disc osteophyte complexes. No spinal cord signal abnormality.