 There is stable mild stepwise retrolisthesis of C2 on C3 and minimal of C3 on C4. The cervical spine is otherwise in normal alignment, with the exaggerated cervical lordosis. The vertebral body and disk heights appear similar, with multi level disc narrowing, slightly progressed at C4-C5 posteriorly compared to the prior MRI. There is now moderate disc narrowing at C2-C3, progressed since previous exam. No worrisome focal marrow signal abnormality is appreciated.The spinal cord is of normal caliber. There is no significant cord signal abnormality, although there is questioned subtle central T2 hyperintensity within the upper cervical cord from the lower C3 level to the upper C4 level on axial images. Sagittal images appear to suggest more extensive central cord abnormality down to the C5-C6 level although this is not confirmed on axial imaging.C2-3: There is uncovering of the disc. There is also minimal ligamentum flavum thickening.C3-4: Uncovering of the disc with a mild superimposed diffuse posterior osteophyte disc complex as well as left greater than right uncovertebral hypertrophy, with moderate to severe left and moderate right foraminal stenosis. There is mild spinal canal stenosis.C4-5: Stable disc osteophyte complex with slight left-sided prominence and left greater than right uncovertebral hypertrophy. There is mild to moderate central spinal canal stenosis, mild to moderate right and moderate to severe left neural foraminal stenosis. There is also left-sided facet arthropathy. There is mild ligamentum flavum thickening.C5-6: Disc osteophyte complex which abuts the right ventral cord and uncovertebral hypertrophy. There is mild central spinal canal stenosis. There is moderate to severe left and moderate right foraminal stenosis. Left facet arthropathy is also noted, along with minimal ligamentum flavum thickening.C6-7: Stable minimal disc osteophyte complex and uncovertebral hypertrophy. There is no significant central spinal canal stenosis. There is also moderate to severe right and moderate left foraminal stenosis.C7-T1: There is no significant disk pathology or stenosis.There is mild mucosal thickening in the visualized maxillary sinuses bilaterally. Extensive age-related brain volume loss is partially visualized.
1. Compared to prior MRI, slight interval progression of overall mild to moderate multilevel spondylotic changes, including degenerative grade 1 retrolisthesis of C2 on C3 and C3 on C4. Up to mild-moderate central spinal canal stenosis at C4-C5 and several levels of high-grade foraminal narrowing as detailed above.2. No significant cord signal abnormality, with minimal questioned very subtle central T2 hyperintensity within the cord along the upper cervical spine, predominantly at the C3-C4 level, which could represent very trace prominence of the central spinal canal within the cord or may simply be artifactual.