55-year-old female with history of multiple myeloma. Concern for cord compression. There is straightening of the cervical spine, likely positional. Again seen are multilevel spondylotic changes of the cervical spine. Specifically, there is mild disc bulge with central disc protrusion at C4-5 with associated mild central spinal canal stenosis and mild indentation of the spinal cord (without intrinsic cord signal abnormality). There is also mild right neuroforaminal stenosis at this level. There is mild disc bulge with mild bilateral neuroforaminal narrowing at C5-6. There is mild disc bulge without stenosis at C6-7. These findings are not significantly changed compared to the prior exam. Vertebral body and disc space heights are well-preserved. There is no evidence of signal abnormality involving the bone marrow or spinal cord. The paravertebral soft tissues are within normal limits.
Spondylotic changes of the cervical spine, most pronounced at C4-5, without evidence of acute cord compression. These findings are unchanged in appearance. 