53-year-old male with right shoulder and neck pain/radiculopathy. The vertebral body heights are preserved. There is mild loss of intervertebral disc height and disc signal throughout the cervical spine related to with degenerative disease. There is a small focus of increased T2 marrow signal in the C5 vertebral body may represent an atypical intraosseous hemangioma. Reactive marrow signal is present along the vertebral body endplates at C3-4. There is mild straightening of the cervical lordosis, but no spondylolisthesis. At C2-C3, there is a small disc osteophyte complex asymmetric to the left, but no significant spinal canal or neural foraminal stenosis. At C3-C4, there is asymmetric hypertrophy of the right uncovertebral joint with moderate right neural foraminal stenosis and mild spinal canal stenosis. At C4-C5, there is a small disc osteophyte complex with trace right neural foraminal stenosis, but no significant spinal canal or left neural foraminal stenosis. At C5-C6, there is minimal uncovertebral joint hypertrophy, but no significant spinal canal or neural foraminal stenosis. At C6-C7, there is a small disc osteophyte complex with minimal right neural foraminal narrowing, but no significant left neural foraminal or spinal canal stenosis. At C7-T1, there is no disc bulge, spinal canal stenosis, or neuroforaminal narrowing.
Multilevel spondylosis, which is most pronounced at C3-4, where there is moderate right neural foraminal stenosis and mild spinal canal narrowing.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.