 There is straightening of the cervical spine which is likely positional. There are no fractures or subluxations. The marrow signal is benign. The cervical and upper thoracic cord are normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. Patchy foci of T2 hyperintensity are present within the pons without associated mass effect.C2/3: UnremarkableC3/4: Left facet hypertrophy causes mild left neural foraminal stenosis.C4/5: Mild posterior osteophyte disc complex without significant associated mass effect or stenosis.C5/6: Posterior osteophyte disc complex asymmetric to the right causes anterior right hemicord flattening without intrinsic cord signal abnormality. There is also ligamentum flavum thickening and bilateral uncinate hypertrophy. There is mild rightward central, moderate left neural foraminal, and mild right neural foraminal stenosis.C6/7: Mild posterior osteophyte disc complex and left uncinate hypertrophy. There is mild left neural foraminal stenosis.C7/T1: Bilateral endplate spurring, worse on the left, causing moderate left neural foraminal stenosis.
1.Patchy foci of T2 hyperintensity are present within the pons without associated mass effect. Given patient age 58 years, this MRI appearance is most suggestive of chronic small vessel ischemic disease. This could be more completely characterized and confirmed with brain MRI if deemed clinically beneficial.2.C3/4: Mild left neural foraminal stenosis.3.C5/6: Mild rightward central, moderate left neural foraminal, and mild right neural foraminal stenosis.4.C6/7: Mild left neural foraminal stenosis.5.C7/T1: Moderate left neural foraminal stenosis.