History of C4-C5 and C5-C6 cervical stenosis: history of neck pain and bilateral shoulder pain. There is slight retrolisthesis of C4 on C5 and C5 on C6 with lack of the usual cervical lordosis. There are small disc-osteophyte complexes and uncovertebral joint hypertrophy at C4-5 and C5-6 with mild-to-moderate spinal canal and bilateral neural foraminal stenoses, but no spinal cord compression or signal abnormality. There is no significant spinal canal or neural foraminal stenosis at the other cervical spine levels, but there are incompletely characterized degenerative changes in the imaged upper thoracic spine. Aside from degenerative bone marrow signal alteration at C4 and C5, the vertebral bone marrow appears to be unremarkable. Aside from endplate irregularity at C4 and C5, the vertebral body heights are preserved. The paravertebral soft tissues are unremarkable. There are bubbly secretions in the right sphenoid sinus.
1. Degenerative spondylolysis at C4-C5 and C5-C6 without spinal cord compression.2. Findings suggestive of acute right sphenoid sinusitis.