73-year-old woman with history of pain radiating to the shoulder. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is normal cervical lordosis. There is grade 1 anterolisthesis of C4 on C5. There is a hemangioma in the T2 vertebral body, otherwise bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and morphology.Degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: There is a small disc osteophyte complex without significant compromise to the spinal canal or the right neural foramen. There is mild left neural foraminal stenosis.C4-5: There is a disc osteophyte complex and ligamentum flavum thickening without significant compromise to the spinal canal or neural foramina.C5-6: There is a disc osteophyte complex and ligamentum flavum thickening without significant spinal canal stenosis. Additionally, there is mild right and mild to moderate left neural foraminal stenosis.C6-7: There is a disc osteophyte complex and ligamentum flavum thickening without significant spinal canal or neural foraminal stenosis.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. There is a partially visualized, large multinodular thyroid gland with mass effect and deviation of the trachea.
1.Mild degenerative changes as described above, worst at the C5/C6 level.2.Large multinodular thyroid goiter with deviation and narrowing of the trachea.