 There are no fractures. There is trace retrolisthesis C5 on C6. The marrow signal is benign. The cervical and upper thoracic cord are normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. Encephalomalacia in the left posterior inferior cerebellar artery territory is consistent with remote PICA infarct. Fluid is also present in bilateral mastoid air cells. The remaining visualized paraspinal contents are unremarkable.C2/3: Incidental note is made of left facet fusion. There are no stenoses.C3/4: Mild right uncinate hypertrophy without stenosis.C4/5: Posterior osteophyte disc complex and right uncinate hypertrophy. There is mild right neural foraminal stenosis.C5/6: Posterior osteophyte disc complex, ligamentum flavum thickening, and bilateral uncinate hypertrophy. There is mild central, moderate left neural foraminal, and moderate to severe right neural foraminal stenosis.C6/7: Posterior osteophyte disc complex, left uncinate hypertrophy, and ligamentum flavum flavum thickening. There is severe left neural foraminal stenosis.C7/T1: Unremarkable
1.C4/5: Mild right neural foraminal stenosis.2.C5/6: Mild central, moderate left neural foraminal, and moderate to severe right neural foraminal stenosis.3.C6/7: Severe left neural foraminal stenosis.