 There is a 2 cm craniocaudal x 1.5 cm AP x 1.5 cm transverse dimension heterogeneous and noncystic mass involving the midline nasopharynx.There is slight reversal of upper cervical curvature. There are no fractures or subluxations. 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 positionC2/3: Mild disc bulge without cord encroachment or stenosisC3/4: There is a small focal disc protrusion which indents the anterior midline cord surface without intrinsic cord signal abnormality.C4/5: Posterior osteophyte disc complex containing a left paramedian disc protrusion component as well as bilateral uncinate hypertrophy. There is slight flattening of the left anterior hemicord without intrinsic cord signal abnormality. There are no significant stenoses.C5/6: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, and ligamentum flavum thickening. There is mild central, severe left neural foraminal, and moderate to severe right neural foraminal stenosis.C6/7: Mild posterior osteophyte disc complex and uncinate hypertrophy as well as slight ligamental flavum thickening. There is mild bilateral neural foraminal stenosis.C7/T1: Unremarkable
1.There is a 2 cm craniocaudal x 1.5 cm AP x 1.5 cm transverse dimension heterogeneous and noncystic mass involving the midline nasopharynx. This should be considered nasopharyngeal carcinoma till proven otherwise, and direct visualization is recommended.2.C5/6: Mild central, severe left neural foraminal, and moderate to severe right neural foraminal stenosis.3.C6/7: Mild bilateral neural foraminal stenosis.4.Findings were discussed with Dr. Crain on 10/5/2015 at approximately 12:05 AM.