 Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The cord signal is normal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable. C1/2: No significant spinal canal stenosis or neuroforaminal narrowing.C2/3: No significant spinal canal stenosis or neuroforaminal narrowing.C3/4: No significant neuroforaminal narrowing or spinal canal stenosis. There is linear T2 and T2 STIR hyperintensity within the annulus of the disk just left of the midline with enhancement which is consistent with an annular fissure.C4/5: There is a small disk protrusion which minimally indents the thecal sac. There is also disk height. Mild central spinal canal stenosis. Moderate right neuroforaminal narrowing with uncovertebral hypertrophy. There is also mild left neuroforaminal narrowing.C5/6: There is loss of disk height and uncovertebral hypertrophy. Moderate right and mild to moderate left neuroforaminal narrowing. There is mild central canal stenosis secondary to shallow central disk protrusion.C6/7: No significant spinal canal stenosis or neuroforaminal narrowing.C7/T1: No significant neuroforaminal narrowing or spinal canal stenosis.
1. Multilevel degenerative changes of the cervical spine worse at C4-C5 and C5-C6 as detailed above.2. Annular fissure is present at C3-C4.2. No mass lesion or evidence of infection as clinically questioned.