Suspected neural foraminal stenosis bilaterally at C6-7-C8 level: bilateral arm numbness. There is an eccentric left disc extrusion or perhaps a sequestration associated with a small posterior disc osteophyte complex at the C6-7 level that results in marked impingement of the exiting left nerve roots and slight indentation of the left aspect of the spinal cord. There is mild right neural foraminal stenosis at C6-7. There are also posterior disc-osteophyte complexes at C4-5 and C5-6 levels, with mild spinal canal, moderate left C4-5 and C5-6 neural foraminal stenosis, and severe right C5-6 neural foraminal narrowing. There is mild right C7-T1 uncovertebral joint hypertrophy, but no significant spinal canal or neural foraminal stenosis. The C1 though C4 levels are unremarkable. There is no abnormal signal within the spinal cord. The vertebral column alignment is anatomic. The vertebral body heights are preserved. There is a hemangioma in the T2 vertebral body. The paraspinal soft tissues are unremarkable. However, there are multiple thyroid nodules.
1. An eccentric left disc extrusion or perhaps a sequestration associated with a small posterior disc osteophyte complex at the C6-7 level results in marked impingement of the exiting left nerve roots and slight indentation of the left aspect of the spinal cord. 2. Posterior disc-osteophyte complexes at C4-5 and C5-6 levels result in mild spinal canal, moderate left C4-5 and C5-6 neural foraminal stenosis, and severe right C5-6 neural foraminal narrowing. 3. Mild right C7-T1 uncovertebral joint hypertrophy, but no significant spinal canal or neural foraminal stenosis. 4. Multiple thyroid nodules.