 The examination is limited by motion artifact. The cervical lordosis is preserved. There is minimal anterolisthesis of C4 over C5 and C5 over C6 as well as minimal retrolisthesis of C6 over C7. The vertebral body and disk heights are well-maintained. There is an approximately 1.4 cm hemangioma visualized in the T2 vertebral body. Within the limitations of motion artifact, spinal cord demonstrates normal caliber and signal. There is no pathological enhancement.C2-C3: There are mild facet and ligamentum flavum hypertrophic degenerative changes, otherwise no significant abnormalities appreciated. Specifically there is no evidence for disc herniation, neuroforaminal stenosis, or central spinal stenosis.C3-C4: There is a diffuse disc bulge with uncovering of the disc as well as mild bilateral posterior facet and ligamentous hypertrophic degenerative changes causing mild left neuroforaminal stenosis and mild spinal canal stenosis without right neuroforaminal stenosis.C4-C5: There is uncovering of the disc with a diffuse disc bulge and left greater than right posterior facet degenerative changes without neuroforaminal or central spinal stenosis.C5-C6: There is a diffuse posterior disc osteophyte complex causing moderate left and mild right neuroforaminal stenosis without spinal canal stenosis at this level. There may be impingement of the exiting left sixth nerve root.C6-C7: There is a diffuse posterior disc osteophyte complex as well as hypertrophy of the ligamentum flavum and posterior facets causing severe bilateral neural foraminal stenosis and mild spinal canal stenosis.C7-T1: No spinal canal stenosis or neuroforaminal stenosis is noted at this level.T1-T2: There is a diffuse disc bulge causing mild bilateral neuroforaminal stenosis.T2-T3: There is a small amount of linear ventral epidural signal at this level which may represent an extrusion migrating 4 mm both cranially and caudally, causing only mild indentation of the ventral thecal sac.
1. At C5-C6 there is a diffuse posterior disc osteophyte complex causing moderate left and mild right neuroforaminal stenosis without spinal canal stenosis. There may be impingement of the exiting left sixth nerve root.2. There is severe bilateral neuroforaminal stenosis and mild central spinal stenosis at C6-C7 secondary to a diffuse posterior disc osteophyte complex and hypertrophy of the posterior facet/ligamentum flavum.3. Possible small disc extrusion at the T2-3 level causing mild indentation of the ventral thecal sac.4. There is minimal anterolisthesis of C4 over C5 and C5 over C6 as well as minimal retrolisthesis of C6 over C7.