 The cervical spine is in normal alignment, with straightening of the normal cervical lordosis. There is moderate disc narrowing at C5-C6. The vertebral body and disk heights are otherwise well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. There is no pathological enhancement.At C2-C3, there is right facet arthropathy.At C3-C4, there is right-sided uncovertebral hypertrophy and facet arthropathy with mild right foraminal narrowing. There is also a shallow central disc protrusion which indents the ventral thecal sac without stenosis.At C4-C5, there is no significant disk pathology or stenosis.At C5-C6, there is a mild diffuse posterior osteophyte disk complex bilateral uncovertebral hypertrophy and left facet arthropathy. There is moderate left foraminal narrowing.At C6-C7, there is a left paracentral/foraminal posterior osteophyte disk complex as well as left-sided facet arthropathy and uncovertebral hypertrophy contributing to overall moderate-severe left and minimal right foraminal stenosis.At C7-T1, there is no significant disk pathology or stenosis.There is moderate fluid opacification of visualized right mastoid air cells.THORACIC SPINE
1.Mild-moderate cervical spondylotic changes with findings most prominent at C6-C7 where there is moderate severe left foraminal narrowing.2.No evidence of abnormal cord signal or enhancement.3.Very minimal thoracic spondylotic changes with no significant stenosis.