Left upper extremity numbness. There is lack of the normal cervical lordosis. No evidence of acute fracture or subluxation. There is an intravertebral disc herniation in the inferior C4 endplate. The vertebral body heights are otherwise preserved. There is indentation upon the anterior spinal cord at C5-6 and C6-7 by posterior disc-osteophyte complexes. However, streaky increased T2 signal within the cord likely represents artifact. The imaged intracranial and paraspinal contents are unremarkable. However, there is a left thyroid nodule that measures up to 20 mm. C2-3: Disc osteophyte complex and uncovertebral joint hypertrophy without spinal canal stenosis or neural foraminal narrowing.C3-4: Disc osteophyte complex and uncovertebral joint hypertrophy without spinal canal stenosis or neuroforaminal narrowing.C4-5: Disc osteophyte complex without spinal canal stenosis or neural foraminal narrowing.C5-6: Disc osteophyte complex and uncovertebral joint hypertrophy with moderate spinal canal stenosis and right neural foraminal narrowing.C6-7: Disc osteophyte complex and uncovertebral joint hypertrophy with moderate spinal canal stenosis and left neural foraminal narrowing.C7-T1: No significant spinal canal stenosis or neural foraminal narrowing.
1. Degenerative spondylosis of the cervical spine with spinal canal stenosis that is most pronounced at C5-6 and C6-7 and neural foraminal narrowing worst at left C6-7.2. A nonspecific left thyroid nodule that measures up to 20 mm. A thyroid ultrasound may be useful for further evaluation.