 Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. There are degenerative bone marrow endplate changes at the C6-C7 level. There is disc desiccation with mild to moderate loss of intervertebral disc height at the C3-C4 and C6-C7 levels. There is a well-defined focus of increased STIR signal in the left aspect of the spinal cord at the C3-C4 level. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C1/2: No significant abnormality.C2/3: Mild disc osteophyte complex. No significant spinal canal or neural foraminal stenosis.C3/4: Mild disc bulge and small disc osteophyte complex causes moderate spinal canal stenosis, moderate right and mild left neural foraminal stenoses.C4/5: Mild disc bulge and small disc osteophyte complex causes mild spinal canal stenosis and minimal narrowing of the neural foramen bilaterally.C5/6: Mild disc bulge, disc osteophyte complex and bilateral facet arthropathy causes moderate to severe bilateral neural foraminal stenoses. There is mild narrowing of the spinal canal, predominantly on a developmental basis. There is very mild edema associated with the bilateral facet arthropathy.C6/7: Mild disc bulge and prominent uncovertebral osteophyte formation causes mild to moderate spinal canal stenosis, severe left and moderate to severe right neural foraminal stenoses.C7/T1: Mild disc bulge and bilateral facet arthropathy causes mild to moderate left and mild right neural foraminal stenoses. No significant spinal canal stenosis.Ovoid cystic lesion in the midline posterior subcutaneous tissues at the C4-C5 level may represent a sebaceous cyst but is nonspecific and can be correlated with examination.
1. Multilevel degenerative changes of the cervical spine, including moderate spinal canal stenosis at the C3-C4 level and to a lesser degree at the C4-C5 and C6-C7 levels.2. Focal T2 signal abnormality in the left aspect of the spinal cord at the C3-C4 level is favored to represent myelomalacia.