Reevaluate inflammatory lesions. No signs or symptoms at this time. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained aside from minimal anterolisthesis of C4 on C5 and minimal retrolisthesis of C5 on C6. Bone marrow signal is benign.The cervical spinal cord has normal signal characteristics and overall morphology. There is no abnormal enhancement.Mild 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: No significant compromise to the spinal canal or neural foramina.C4-5: No significant compromise to the spinal canal or neural foramina.C5-6: There is a disc osteophyte complex including a right paracentral protrusion which partially effaces the right ventral aspect of the thecal sac. There is no significant spinal canal stenosis overall. There is mild narrowing of the neural foramina.C6-7: There is a small disc osteophyte complex including a right paracentral disc protrusion. There is no significant spinal canal stenosis. There is mild right neural foraminal narrowing.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits. There is partial opacification of the left-sided mastoid air cells
1. There is no abnormal signal or enhancement involving the cervical cord to suggest recurrent inflammation.2. Mild multilevel degenerative changes in the cervical spine are again seen.