61-year-old woman with history of paresthesias, evaluate for progressive stenosis. The craniovertebral junction appears within normal limits. There is reversal of the normal cervical lordosis, particularly from C3-C7. Additionally, there is grade 1 anterolisthesis of C3 on C4, stable from the prior examination. The cervical vertebral bodies are appropriate in height. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.There is loss of intervertebral disc height and formation of disc osteophyte complexes with degenerative changes as described below, overall minimally progressed from the prior examination:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: There is a disc osteophyte complex with mild spinal canal stenosis. There is moderate right neural foraminal narrowing and mild left neural foraminal narrowing. C4-5: There is a disc osteophyte complex resulting in mild to moderate spinal canal stenosis. There is mild to moderate bilateral neural foraminal stenosis.C5-6: There is a disc osteophyte complex resulting in mild to moderate spinal canal stenosis. There is mild to moderate left and mild right neural foraminal stenosis.C6-7: There is a disc osteophyte complex resulting in mild to moderate spinal canal stenosis. There is mild bilateral neural foraminal stenosis, left greater than right. A right perineural cyst is noted.C7-T1: There is a disc osteophyte complex without significant spinal canal or neuroforaminal stenosis.The vertebral artery flow voids appear to be intact. There are multiple bilateral T2 hyperintense thyroid nodules, otherwise the paraspinous soft tissue structures appear within normal limits.
Multilevel degenerative changes, minimally progressed since 12/2014. There is up to mild-to-moderate degree of spinal canal stenosis at the C4-C5, C5-C6, and C6-C7 levels. Multilevel neural foraminal stenoses as above.