 Exaggerated cervical lordosis, similar to prior CT. Endplate degenerative changes, most severe at C3-C4. There is also degenerative changes at the C1-C2 articulation with thickening along the posterior aspect of the dens corresponding to calcifications seen on prior CT. Multilevel disc desiccation and disc space loss throughout the cervical spine. Vertebral body heights are intact. No abnormal signal within the cord.C2-C3: Mild posterior disc osteophyte complex without significant central or foraminal stenosisC3-C4: Moderate posterior disc osteophyte complex producing moderate central stenosis. Moderate right and mild left neural foraminal stenosis.C4-C5: Mild posterior disc osteophyte complex. Mild central canal stenosis and mild bilateral foraminal stenosisC5-C6: Mild posterior disc osteophyte complex without central canal stenosis. Moderate left and mild right neural foraminal stenosis.C6-C7: Mild posterior disc osteophyte complex. No central canal stenosis. Mild left neural foraminal stenosisC7-T1: No significant central or neural foraminal stenosis.
Cervical spondylosis, most severe at C3-C4, where there is moderate spinal stenosis. No evidence of acute cord compression.