 There is reversal of the normal cervical lordosis. There is degenerative anterior spondylolisthesis of C3-4 and C4-5 as well as degenerative posterior spondylolisthesis of C6-7. There is diffuse disc desiccation and loss of intervertebral disc space height at C4-5 through C6-7. The vertebral body heights are maintained. There are mild degenerative endplate changes of C4-5 through C6-7, as well as a Schmorl's node in the superior endplate of C6. The cervical and upper thoracic cord are normal in signal and morphology. The imaged intracranial structures are unremarkable.C2/3: No significant spinal canal stenosis or neural foraminal narrowing.C3/4: Facet joint arthropathy, a small posterior disc osteophyte complex and uncovertebral joint hypertrophy results in moderate bilateral neural foraminal narrowing, but no significant spinal canal stenosis.C4/5: Posterior disc osteophyte complex, uncovertebral joint hypertrophy and facet joint arthropathy results in moderate bilateral neural foraminal narrowing, as well as mild spinal canal stenosis.C5/6: A posterior disc osteophyte complex and facet joint arthropathy results in severe right and moderate left neural foraminal narrowing, but no significant spinal canal stenosis.C6/7: A posterior disc osteophyte complex and facet joint arthropathy results in mild bilateral neural foraminal narrowing, but no significant spinal canal stenosis.C7/T1: Facet joint arthropathy results in mild right neural foraminal narrowing, but no significant spinal canal stenosis.
Moderate multilevel degenerative changes including degenerative spondylolisthesis, facet joint arthropathy, uncovertebral joint hypertrophy and posterior disc osteophyte complexes, most pronounced at C4-5 and C5-6, which results in multilevel spinal canal stenosis and neural foraminal narrowing.