 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. Partially imaged is the patient's known large goiter with rightward deviation of the trachea (please see previous neck CT for complete characterization). The remaining visualized paraspinal contents are unremarkable.Disc desiccation with significant disc height loss is present throughout. Primarily Modic type I discogenic reactive endplate change is evident at C4/5.C1/2: Severe facet degeneration (right much greater than left) narrows bilateral neural foramina, moderate on the left and severe on the right.C2/3: Mild posterior osteophyte disc complex as well as mild right facet hypertrophy. There are no significant stenoses.C3/4: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, and mild bilateral facet hypertrophy. There is mild to moderate bilateral neural foraminal stenosis.C4/5: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, ligamentum flavum thickening, and mild bilateral facet hypertrophy. There is moderate central and severe bilateral neural foraminal stenosis.C5/6: There is partial vertebral body fusion as well as left facet fusion. Left uncinate hypertrophy and mild left facet hypertrophy cause mild left neural foraminal stenosis.C6/7: Posterior osteophyte disc complex, ligamentum flavum thickening, and left uncinate hypertrophy. There is mild central and mild left neural foraminal stenosis.C7/T1: Trace anterolisthesis C7 on T1, moderate left facet hypertrophy, and mild right facet hypertrophy. There is mild left neural foraminal stenosis.Facet disease at T1/2 and T2/3 encroach the neural foramina.
1.C1/2: Severe facet degeneration (right much greater than left) narrows bilateral neural foramina, moderate on the left and severe on the right.2.C3/4: Mild to moderate bilateral neural foraminal stenosis.3.C4/5: Moderate central and severe bilateral neural foraminal stenosis.4.C5/6: Mild left neural foraminal stenosis.5.C6/7: Mild central and mild left neural foraminal stenosis.6.C7/T1: Mild left neural foraminal stenosis.7.Facet disease at T1/2 and T2/3 encroach the neural foramina. If the patient has symptoms referable to the thoracic spine, a thoracic spine MRI could be acquired if deemed clinically beneficial.