 There is straightening of the upper cervical spine. There are no fractures or subluxations. The marrow signal is benign. The cervical and upper thoracic cord are normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: Unremarkable and unchangedC3/4: Posterior osteophyte disc complex and bilateral uncinate hypertrophy. There is mild to moderate left neural foraminal and moderate right neural foraminal stenosis. Neuroforaminal stenoses have progressed.C4/5: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, right facet hypertrophy. There is moderate bilateral neural foraminal stenosis. Neural foraminal stenosis or progressed.C5/6: Posterior osteophyte disc complex and bilateral uncinate hypertrophy (left greater than right). There is severe left and mild right neural foraminal stenosis. These findings are unchanged.C6/7: Posterior osteophyte disc complex and bilateral uncinate hypertrophy. There is mild to moderate bilateral neural foraminal stenosis. These findings are unchanged.C7/T1: Left facet hypertrophy causes new mild left neural foraminal stenosis.
1.C3/4: Mild to moderate left neural foraminal and moderate right neural foraminal stenosis. Neuroforaminal stenoses have progressed.2.C4/5: Moderate bilateral neural foraminal stenosis. Neural foraminal stenosis or progressed.3.C5/6: Severe left and mild right neural foraminal stenosis. These findings are unchanged.4.C6/7: Mild to moderate bilateral neural foraminal stenosis. These findings are unchanged.5.C7/T1: New mild left neural foraminal stenosis.