 The craniocervical junction is unremarkable. Vertebral body heights are normal. Alignment is grossly maintained. Bone marrow signal is benign. No abnormal signal in the cervical or upper thoracic cord.There are multilevel degenerative changes throughout the cervical spine, as described below:C2/3: There is a mild posterior disc bulge without significant spinal canal stenosis. No neural foraminal stenosis. C3/4: There is a mild posterior disc bulge with minimal spinal canal stenosis. No significant neural foraminal stenosis. C4/5: There is a small disc osteophyte complex which effaces the ventral thecal sac and results in mild spinal canal stenosis. There is mild right and minimal left neural foraminal stenosis related to uncovertebral hypertrophy. C5/6: There is small disc osteophyte complex without significant spinal canal stenosis. There is minimal bilateral neural foraminal stenosis.C6/7: There is small disc osteophyte complex with minimal spinal canal stenosis. There is minimal bilateral neural foraminal stenosis.C7/T1: No significant spinal canal or neural foraminal stenosis. There is mild bilateral facet arthropathy.
Mild multilevel degenerative changes in the cervical spine without high-grade spinal canal or high-grade neural foraminal stenosis at any level. Specifically, no significant neural foraminal narrowing at the C7-T1 level is appreciated. Please see additional levels as above.