 Cervical spine:There is reversal of the upper cervical curvature. There are no fractures or subluxations. The marrow signal is benign. The cervical cord is normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: Grade 1 anterolisthesis C2 on C3, posterior osteophyte disc complex, ligamentum flavum thickening, and facet hypertrophy. There is mild central and moderate to severe bilateral neural foraminal stenosis.C3/4: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, ligamentum flavum thickening, and bilateral facet hypertrophy. There is mild central and severe bilateral neural foraminal stenosis.C4/5: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, ligamentum flavum thickening, and bilateral facet hypertrophy. There is moderate central and severe bilateral neural foraminal stenosis.C5/6: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, ligamentum flavum thickening, and bilateral facet hypertrophy. There is moderate central, moderate to severe left neural foraminal, and severe right neural foraminal stenosis.C6/7: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, ligamentum flavum thickening, and bilateral facet hypertrophy. There is mild central, severe left neural foraminal, and moderate to severe right neural foraminal stenosis.C7/T1: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, ligamentum flavum thickening, and bilateral facet hypertrophy. There is moderate left neural foraminal and moderate to severe right neural foraminal stenosis.Degenerative changes of the upper cervical spine result in moderate neural foraminal stenosis at T1/2 and mild neural foraminal stenosis at T2/3.Lumbar spine:There are no fractures. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable.L1/2: UnremarkableL2/3: Asymmetric bulge to the left, ligamentum flavum thickening, mild bilateral facet hypertrophy, a tiny synovial cyst along the left anteromedial facet joint, and a small left facet effusion. There is moderate left neural foraminal and mild right neural foraminal stenosis.L3/4: Diffuse annular disc bulge, ligamentum flavum thickening, mild-to-moderate bilateral facet hypertrophy, and a moderate left facet effusion. There is mild central and mild bilateral neural foraminal stenosis.L4/5: Grade 1 anterolisthesis of L4 on L5, diffuse annular disc bulge, ligamentum flavum thickening, severe bilateral facet hypertrophy, and mild to moderate bilateral facet effusions. There is moderate to severe central, severe bilateral lateral recess, moderate left neural foraminal, and moderate to severe right neural foraminal stenosis.L5/S1:Mild disc bulge and minimal bilateral facet hypertrophy. Bilateral S1 nerve root sheath origins are blunted and flattened without displacement.
1.C2/3: Mild central and moderate to severe bilateral neural foraminal stenosis.2.C3/4: Mild central and severe bilateral neural foraminal stenosis.3.C4/5: Moderate central and severe bilateral neural foraminal stenosis.4.C5/6: Moderate central, moderate to severe left neural foraminal, and severe right neural foraminal stenosis.5.C6/7: Mild central, severe left neural foraminal, and moderate to severe right neural foraminal stenosis.6.C7/T1: Moderate left neural foraminal and moderate to severe right neural foraminal stenosis.7.Degenerative changes of the upper cervical spine result in moderate neural foraminal stenosis at T1/2 and mild neural foraminal stenosis at T2/3.8.L2/3: Moderate left neural foraminal and mild right neural foraminal stenosis.9.L3/4: Mild central and mild bilateral neural foraminal stenosis.10.L4/5: Moderate to severe central, severe bilateral lateral recess, moderate left neural foraminal, and moderate to severe right neural foraminal stenosis.11.L5/S1:Bilateral S1 nerve root sheath origins are blunted and flattened without displacement.