 There is extensive degenerative disc disease affecting the entire cervical spine with abnormal kyphosis in the lower cervical spine. There are compression deformities with loss of vertebral body height of over greater than 50% at C6 and less than 50% at C7 and T1. The cervical and upper thoracic cord are normal in caliber and signal. The cervicomedullary junction is normal. The cerebellar tonsils and visualized portion of the posterior fossa are unremarkable. The visualized paraspinal structures are normal.C1/2: No significant stenosis.C2/3: There is moderate degenerative disc disease with moderate left neural foraminal stenosis. There is no significant spinal canal stenosis.C3/4: There is moderate degenerative disc disease with mild left neural foraminal stenosis. The subarachnoid space is mildly effaced anteriorly and there is mild spinal canal stenosis seen on the sagittal sequences.C4/5: There is grade 1 anterolisthesis of C4 on C5. There is advanced degenerative disc disease with loss of intervertebral disc height. There is a disc bulge, worse on the left with significant left neural foraminal stenosis, mild right neural foraminal stenosis, and moderate effacement of the anterior subarachnoid space with flattening of the cervical cord.C5/6: There is advanced degenerative disc disease with loss of intervertebral disc height. There is significant left neural foraminal stenosis. There is no significant right neural foraminal or spinal canal stenosis.C6/7: There is advanced degenerative disc disease with loss of intervertebral disc height. There is mild to moderate left neural foraminal stenosis. There is no significant right neural foraminal or spinal canal stenosis.C7/T1: There is grade 1/2 anterolisthesis of C7 on T1. There is advanced degenerative disc disease and loss of intervertebral disc heights. There is mild narrowing of bilateral neural foraminal. No significant spinal stenosis.
Extensive degenerative disc disease and compression deformities of C6 through T1 with multilevel neural foraminal stenosis and mild spinal canal stenosis as described above. A CT of the cervical spine with 3-D reformatting can be considered for further evaluation, especially if presurgical planning is clinically warranted.