 The cranial-cervical junction is normal. There is hypertrophy of the atlantoaxial ligaments and loss of the normal cervical lordosis. The vertebral bodies, marrow and end plates are unremarkable. There is no evidence of fracture or spondylolisthesis. C2-3: Minimal degenerative disk disease without significant neuroforaminal or spinal canal stenosis.C3-4: Minimal degenerative disk disease and mild facet hypertrophy without significant neuroforaminal spinal canal stenosis.C4-5: Asymmetric left facet hypertrophy and uncovertebral joint hypertrophy with mild left neuroforaminal stenosis.C5-6: Moderate degenerative disk disease with right greater than left uncovertebral joint hypertrophy and facet hypertrophy. Moderate right and mild left neuroforaminal stenosis.C6-7: Hypertrophy of the posterior longitudinal ligament and right paramedian disk osteophyte complex with effacement of the anterior subarachnoid space and flattening of the cord. There is also effacement of the posterior CSF space with moderate central spinal stenosis. Moderate bilateral neuroforaminal stenosis. A punctate focus of increased T2 signal signal within the cord is seen only on the sagittal T2 weighted sequence.C7-T1: No significant neuroforaminal or spinal canal stenosis. The visualized upper thoracic spine is unremarkable. The paraspinal soft tissues are within normal limits.
1. Moderate bilateral neuroforaminal narrowing and spinal canal stenosis at C6/7 as described above with a punctate focus of increased T2 signal intensity seen within the cord only on the sagittal T2-weighted sequence.2. Additional multilevel degenerative changes and neuroforaminal narrowing as described above.