Concern for stenosis, myelopathy with abnormal reflexes. There is a small eccentric left disc protrusion at C5-6 with mild narrowing of the neural foramen, but no significant spinal canal stenosis. There is no significant neural foraminal or spinal canal stenosis at the other levels of the cervical spine. There is straightening of the cervical spine alignment in the sagittal plane, but no spondylolisthesis. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. However, the thyroid gland is mildly enlarged diffusely and contains a subcentimeter left lobe nodule.
1. A small eccentric left disc protrusion at C5-6 results in mild narrowing of the neural foramen, but no significant spinal canal stenosis. 2. The thyroid gland is mildly enlarged diffusely and contains a subcentimeter left lobe nodule, all of which is nonspecific. A thyroid ultrasound may be useful for further evaluation.