 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.Modic type I reactive endplate changes are present at C4/5, C5/6, and to a lesser extent C6/7.C2/3: Focal right paramedian osteophyte disc complex causes slight flattening of the anterior right hemicord without intrinsic cord signal abnormality, displacing adjacent traversing nerve roots..C3/4: Posterior osteophyte disc complex and bilateral uncinate hypertrophy. There is severe left neural foraminal and moderate to severe right neural foraminal stenosis.C4/5: Posterior osteophyte disc complex and bilateral uncinate hypertrophy. There is severe left neural foraminal and moderate right neural foraminal stenosis.C5/6: Posterior osteophyte disc complex and bilateral uncinate hypertrophy. There is moderate left neural foraminal and moderate to severe right neural foraminal stenosis.C6/7: Posterior osteophyte disc complex and bilateral uncinate hypertrophy. There is severe left neural foraminal and moderate to severe right neural foraminal stenosis.C7/T1: There is trace anterolisthesis C7 on T1 secondary to bilateral facet hypertrophy (right greater than left). There no significant stenoses.
1.C2/3: Focal right paramedian osteophyte disc complex causes slight flattening of the anterior right hemicord without intrinsic cord signal abnormality, displacing adjacent traversing nerve roots..2.C3/4: Severe left neural foraminal and moderate to severe right neural foraminal stenosis.3.C4/5: Severe left neural foraminal and moderate right neural foraminal stenosis.4.C5/6: Moderate left neural foraminal and moderate to severe right neural foraminal stenosis.5.C6/7: Severe left neural foraminal and moderate to severe right neural foraminal stenosis.