 There is uncovertebral hypertrophy at C3-4 causing severe right neural foraminal narrowing, but no significant spinal canal stenosis. There is uncovertebral hypertrophy, a disc-osteophyte complex, and a superimposed disc protrusion at C4-5 with impingement upon the spinal cord and moderate left and severe right neural foraminal stenosis. The spinal cord signal is otherwise preserved. There is also a disc-osteophyte complex eccentric to the right at C5-6 causing mild right neural foraminal stenosis. There appears to be diffuse mild posterior longitudinal ligament ossification, but no significant degenerative spondylosis at C2-3, C6-7 or C7-T1. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. The paravertebral soft tissues are unremarkable. The imaged intracranial structures are unremarkable.
Multilevel degenerative spondylosis with severe right neural foraminal narrowing at C3-4, impingement upon the spinal cord and moderate left and severe right neural foraminal stenosis at C4-5, and mild right neural foraminal stenosis at C5-6. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.