Patient with neck stiffness, hyperreflexia, spasticity of the bilateral lower extremities Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.Degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: Small disc osteophyte complex without compromise to the spinal canal. Mild right neural foraminal narrowing related to facet arthropathy. Left neural foramen is patent.C4-5: Uncovertebral hypertrophy and facet arthropathy contribute to mild left and minimal right neural foraminal narrowing. C5-6: There is mild to moderate degree of spinal canal stenosis related to disc osteophyte complex and ligamentum flavum thickening. No cord signal abnormality. There is mild to moderate bilateral neural foraminal stenosis related to uncovertebral hypertrophy and facet arthropathy.C6-7: There is mild degree of spinal canal stenosis related to disc osteophyte complex and ligamentum flavum thickening. No cord signal abnormality. Mild to moderate left and mild right neural foraminal stenosis related to uncovertebral hypertrophy and facet arthropathy.C7-T1: No significant compromise to the spinal canal or neural foramina.There is a heterogeneous nodule along the posterior aspect of the left thyroid lobe measuring 2.8 x 1.8 cm which is not well assessed but present on prior CT from 6/23/2006.
1. Multilevel degenerative changes in the cervical spine. There is mild to moderate spinal canal stenosis at the C5-C6 level and mild spinal canal stenosis at the C6-C7 level. No evidence of higher grade stenosis or cord signal abnormality. Varying degrees of mild to moderate neural foraminal narrowing as described above.2. 2.8 x 1.8 cm heterogeneous nodule at the level of the left thyroid lobe which may represent large thyroid nodule or perhaps enlarged parathyroid tissue and was present on prior CT neck from 6/23/2006. Ultrasound can be considered for further evaluation if clinically indicated.