 There is normal alignment with straightening of the normal cervical lordosis. Cord signal is normal. There is multilevel moderate to severe decrease in intervertebral disc space and intervertebral disc desiccation.C2-C3: Negative.C3-C4: There is mild diffuse posterior disc-osteophyte complex. There is moderate central canal stenosis with moderate foraminal stenosis left more than the right. There is bilateral uncovertebral hypertrophy. There is slight indentation of the ventral cord.C4-C5: There is mild diffuse posterior disc-osteophyte complex. There is mild-moderate central canal stenosis with moderate-severe right foraminal stenosis and mild to moderate left foraminal stenosis. There is bilateral uncovertebral hypertrophy, right more than the left.C5-C6: Moderate posterior disc-osteophyte complex with bilateral uncovertebral hypertrophy. There is a moderate spinal canal stenosis. There is moderate to severe foraminal stenosis bilaterally. There is hypertrophy of the ligamentum flavum.C6-C7: There is diffuse posterior disc-osteophyte complex. There is a moderate uncovertebral hypertrophy. There is mild spinal canal stenosis. There is moderate to severe right foraminal stenosis and moderate left foraminal stenosis.C7-T1: There is mild posterior disc-osteophyte complex with no evidence of spinal stenosis. There is a moderate to severe right foraminal stenoses and moderate left foraminal stenosis. Prominent bilateral uncovertebral hypertrophy.T1-T2: Sagittal images suggest a diffuse posterior disc-osteophyte complex with right foraminal prominence. Moderate right greater than left foraminal narrowing is noted.Sagittal images of T2-T3 demonstrate a left foraminal disk protrusion and moderate right foraminal narrowing, while at T3-T4 and T4-T5, there are right foraminal posterior disc-osteophyte complexes with mild right foraminal narrowing.Note is made of retropharyngeal course of the distal common carotid arteries and the proximal internal carotid arteries. Also there is mild scattered paranasal sinuses mucosal thickening.
Moderate degenerative changes of the cervical spine as described above. The worst spinal stenosis is of moderate degree at C3-C4. Scattered up to moderate-severe foraminal stenosis as detailed above.