 There is straightening of the cervical spine which is likely positional. The marrow signal is benign. The cervical and upper thoracic cord is normal in signal without abnormal enhancement. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: Right facet hypertrophy causes mild right neural foraminal stenosis.C3/4: Posterior osteophyte disc complex, prominent in the midline, abuts and deforms the anterior cord. This is associated with focal cord atrophy and intrinsic T2 hyperintense abnormality most consistent with myelomalacia.C4/5: Posterior osteophyte disc complex, ligamentum flavum thickening with mineralization, bilateral uncinate hypertrophy, severe left facet hypertrophy, and moderate right facet hypertrophy combine to result in cord deformation associated with intrinsic T2 hyperintensity and moderate to severe central stenosis. There is also severe left neural foraminal and moderate to severe right neural foraminal stenosis.C5/6: Posterior osteophyte disc complex, ligamentum flavum thickening, bilateral uncinate hypertrophy, mild left facet appeared, and severe right facet hypertrophy. There is mild to moderate central and moderate to severe bilateral neural foraminal stenosis.C6/7: Posterior osteophyte disc complex, ligamentum flavum thickening, and mild left facet hypertrophy. There is minimal central and moderate bilateral neural foraminal stenosis.C7/T1: Posterior osteophyte disc complex eccentric to the right and mild bilateral facet hypertrophy. There is slight flattening of the anterior right hemicord without intrinsic cord signal abnormality. There is mild left neural foraminal and moderate right neural foraminal stenosis.
1.C2/3: Mild right neural foraminal stenosis.2.C3/4: Posterior osteophyte disc complex, prominent in the midline, abuts and deforms the anterior cord. This is associated with focal cord atrophy and intrinsic T2 hyperintense abnormality most consistent with myelomalacia.3.C4/5: Posterior osteophyte disc complex, ligamentum flavum thickening with mineralization, bilateral uncinate hypertrophy, severe left facet hypertrophy, and moderate right facet hypertrophy combine to result in cord deformation associated with intrinsic T2 hyperintensity and moderate to severe central stenosis. There is also severe left neural foraminal and moderate to severe right neural foraminal stenosis.4.C5/6: Mild to moderate central and moderate to severe bilateral neural foraminal stenosis.5.C6/7: Minimal central and moderate bilateral neural foraminal stenosis.6.C7/T1: Mild left neural foraminal and moderate right neural foraminal stenosis.