 There is minimal retrolisthesis of C3 on C4. There is mild anterolisthesis of C5 on C6. There is ankylosis involving the facet joints bilaterally at C4-C5. There is otherwise normal alignment of the vertebral bodies. Bone marrow signal is benign. Small focus of T1 and T2 hyperintensity in the dense is consistent with a small focus of fat or hemangioma. No cord signal abnormality.There are multilevel degenerative changes with multilevel disc osteophyte complexes, individual levels as below:At the level of C2-C3 there is a broad-based disc bulge. There is hypertrophy of the ligamentum flavum. There is facet arthropathy. No significant spinal canal stenosis. Minimal left neural foraminal narrowing. No significant right neural foraminal narrowing.At the level of C3-C4 there is a moderate disc bulge with mild-to-moderate spinal stenosis. There is hypertrophy of the ligamentum flavum. There is mild facet hypertrophy. Mild uncovertebral hypertrophy is seen. There is mild bilateral neural foraminal stenosis.At the level of C4-C5 there is no disc bulge and no spinal or neural foraminal compromise.At the level of C5-C6 there is minimal spinal stenosis related to small disc osteophyte complex and hypertrophy of the ligamentum flavum. There is mild to moderate narrowing of the bilateral neural foramina.At the level of C6-C7 there is no spinal stenosis. Left paracentral disc disc osteophyte complex and uncovertebral hypertrophy. There is also left facet hypertrophy with mild to moderate left neural foramina compromise.At the level of C7-T1 there is left facet hypertrophy with no evidence of spinal stenosis or neural foraminal compromise. Left-sided perineural cyst incidentally noted.
Multilevel degenerative changes in the cervical spine with up to mild to moderate spinal canal stenosis at the C3-C4 level. No cord signal abnormality. There is neural foraminal stenosis at multiple levels as detailed above.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.