 Redemonstrated is straightening of the normal cervical lordosis. The vertebral body heights are well-maintained. There is multilevel disk narrowing as demonstrated previously. No worrisome focal marrow signal abnormality is appreciated. There is developmental narrowing of the mid cervical spine canal.At C2-C3,there is no significant disk pathology or stenosis, unchanged.At C3-C4, there is a mild diffuse posterior osteophyte disk complex as well as right greater than left uncovertebral hypertrophy and right-sided facet arthropathy. The previous disk protrusion component has slightly increased as well as ligamentum flavum thickening. These progressive findings now result in severe central stenosis (previously moderate-severe), with new intrinsic T2 cord hyperintensity. Moderate left and moderate-severe right foraminal stenosis is stable.At C4-C5, there is a persistent mild posterior osteophyte disk complex with left greater than right uncovertebral hypertrophy. There is moderate central spinal canal stenosis as well as moderate-severe left and moderate right foraminal narrowing. There is also trace ligamentum flavum thickening. These findings are unchanged.At C5-C6, there is a posterior osteophyte disk complex with mild bilateral uncovertebral hypertrophy, and moderate bilateral foraminal narrowing. These findings are unchanged.At C6-C7, there is a mild posterior osteophyte disk complex and superimposed right paramedian disk protrusion with annular fissure. This flattens the right ventral cord without intrinsic cord signal abnormality. There are no significant stenoses. These findings are unchanged..At C7-T1,there is no significant disk pathology or stenosis, unchanged.Facet arthropathy results in foraminal encroachment on the right at T1/2, T2/3, and T3/4, unchanged.
1.At C3-C4, there is a mild diffuse posterior osteophyte disk complex as well as right greater than left uncovertebral hypertrophy and right-sided facet arthropathy. The previous disk protrusion component has slightly increased as well as ligamentum flavum thickening. These progressive findings now result in severe central stenosis (previously moderate-severe), with new intrinsic T2 cord hyperintensity. Moderate left and moderate-severe right foraminal stenosis is stable.2.At C4-C5, there is moderate central spinal canal stenosis as well as moderate-severe left and moderate right foraminal narrowing, unchanged.3.At C5-C6, there is moderate bilateral foraminal narrowing, unchanged.4.At C6-C7, there is a mild posterior osteophyte disk complex and superimposed right paramedian disk protrusion with annular fissure. This flattens the right ventral cord without intrinsic cord signal abnormality, unchanged.5.Facet arthropathy results in foraminal encroachment on the right at T1/2, T2/3, and T3/4, unchanged. 