 There has been anterior cervical fusion from C4 through C7.There are no fractures. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: UnremarkableC3/4: Posterior osteophyte disc complex and bilateral uncinate hypertrophy. There is mild anterior cord flattening without intrinsic cord signal abnormality. There is moderate left and mild-to-moderate right neural foraminal stenosis.C4/5: Posterior osteophyte disc complex, bilateral facet hypertrophy, and left facet hypertrophy. There is T2 abnormality within the cord at this level which demonstrates associated focal cord atrophy. There is severe left and moderate right neural foraminal stenosis.C5/6: Posterior osteophyte disc complex and bilateral uncinate hypertrophy. T2 hyperintensity is noted within the cord at this level with associated slight focal cord atrophy. There is moderate to severe left and mild-to-moderate right neural foraminal stenosis.C6/7: Posterior osteophyte disc complex and bilateral uncinate hypertrophy. There is a suggestion of cord T2 hyperintensity and minimal focal cord atrophy. There is moderate to severe left neural foraminal and moderate right neural foraminal stenosis.C7/T1: Posterior osteophyte disc complex and uncinate hypertrophy. There is severe bilateral neural foraminal stenosis.Degenerative changes throughout all the visualized thoracic levels from T1 through T5 demonstrate central canal and bilateral neural foraminal encroachment.
1.C3/4: Moderate left and mild-to-moderate right neural foraminal stenosis.2.C4/5: There are is T2 abnormality within the cord at this level which demonstrates associated focal cord atrophy. There is severe left and moderate right neural foraminal stenosis.3.C5/6: T2 hyperintensity is noted within the cord at this level with associated slight focal cord atrophy. There is moderate to severe left and mild-to-moderate right neural foraminal stenosis.4.C6/7: There are is a suggestion of cord T2 hyperintensity and minimal focal cord atrophy. There is moderate to severe left neural foraminal and moderate right neural foraminal stenosis.5.C7/T1: Severe bilateral neural foraminal stenosis.6.Degenerative changes throughout all the visualized thoracic levels from T1 through T5 demonstrate central canal and bilateral neural foraminal encroachment. If the patient has symptoms referable to the thoracic spine, a dedicated MRI of the thoracic spine could be obtained if the clinically beneficial.