 Alignment is normal. The marrow signal is benign. Mild chronic wedge deformity of C5 is again noted. 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. There is no abnormal enhancement.C2/3: Mild posterior osteophyte disc complex and slight ligamentum flavum thickening. There is mild bilateral neural foraminal stenosis.C3/4: Posterior osteophyte disc complex, uncinate hypertrophy, and ligamentum flavum thickening. There is mild central, moderate to severe left neural foraminal, and mild right neural foraminal stenosis.C4/5: Posterior osteophyte disc complex, uncinate hypertrophy, and ligamentum flavum thickening. There is mild central, moderate left neural foraminal, and moderate to severe right neural foraminal stenosis.C5/6: Posterior osteophyte disc complex and bilateral uncinate hypertrophy. There is moderate left neural foraminal and severe right neural foraminal stenosis.C6/7: Posterior osteophyte disc complex and slight ligamentum flavum thickening. There are no significant stenoses.C7/T1: Posterior osteophyte disc complex and slight ligamentum flavum thickening. There are no significant stenoses.T1/2: Sagittal images suggest the presence of posterior osteophyte disc complex and facet hypertrophy encroaching the central canal and neural foramina.T2/3: Sagittal images suggest the presence of posterior osteophyte disc complex encroaching the central canal.
1.C2/3: Mild bilateral neural foraminal stenosis.2.C3/4: Mild central, moderate to severe left neural foraminal, and mild right neural foraminal stenosis.3.C4/5: Mild central, moderate left neural foraminal, and moderate to severe right neural foraminal stenosis.4.C5/6: Moderate left neural foraminal and severe right neural foraminal stenosis.5.T1/2: Sagittal images suggest the presence of posterior osteophyte disc complex and facet hypertrophy encroaching the central canal and neural foramina. T2/3: Sagittal images suggest the presence of posterior osteophyte disc complex encroaching the central canal. If the patient has symptoms referable to the thoracic spine, a dedicated thoracic MRI could better define these degenerative changes, if deemed clinically beneficial.