 Alignment is anatomic. There are no fractures or subluxations. 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.Note is made of an ovoid focus of T1 and T2 hyperintensity within the posterior elements of C2 which demonstrates signal loss with STIR imaging. This is consistent with a fat containing lesion, most likely either an intraosseous lipoma versus focal fatty deposit.Note is made of T2 hyperintense cystic foci within the bilateral thyroid lobes. Comparison of prior studies would be helpful. If this area has not been imaged previously, dedicated thyroid ultrasound would be recommended.C2/3: UnremarkableC3/4: Uncinate hypertrophy causes mild bilateral neural foraminal stenosis.C4/5: UnremarkableC5/6: A broad-based disc herniation causes anterior cord flattening, without intrinsic cord signal abnormality. There is also bilateral uncinate hypertrophy. Overall there is moderate central and moderate to severe bilateral neural foraminal stenosis.C6/7: Mild posterior osteophyte disc complex without significant resulting stenosis.C7/T1: Unremarkable
1.Note is made of T2 hyperintense cystic foci within the bilateral thyroid lobes. Comparison of prior studies would be helpful. If this area has not been imaged previously, dedicated thyroid ultrasound would be recommended.2.C3/4: Mild bilateral neural foraminal stenosis.3.C5/6: A broad-based disc herniation causes anterior cord flattening, without intrinsic cord signal abnormality. There is also bilateral uncinate hypertrophy. Overall there is moderate central and moderate to severe bilateral neural foraminal stenosis.