 Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is some loss of cervical lordosis, alignment is otherwise maintained. Bone marrow signal is benign. The cervical spinal cord has normal signal characteristics and overall morphology.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 central disc extrusion. There is also ligamentum flavum thickening. There is resulting moderate spinal canal stenosis including mild cord deformity. No cord signal abnormality. There is moderate to severe right and mild left neural foraminal stenosis related to uncovertebral hypertrophy. Mild facet arthropathy.C6-7: There is a disc bulge with small extrusion component as well as ligamentum flavum thickening. There is mild to moderate spinal canal stenosis. There is mild right and minimal left neural foraminal stenosis. Mild facet arthropathy.C7-T1: No significant compromise to the spinal canal or neural foramina. Mild facet arthropathyThe vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.THORACIC SPINE
1. Degenerative changes in the cervical spine at the C5-C6 and C6-C7 levels. There is moderate spinal canal stenosis at C5-C6 and to a lesser degree at the C6-C7 level. There is moderate to severe right C5-C6 neural foraminal stenosis this level. No cord signal abnormality. Additional levels as above.2. Minimal degenerative changes in the thoracic spine with no significant spinal canal or neural foraminal stenosis at any level in the thoracic spine. No cord signal abnormality.3. Mild degenerative changes in the lumbar spine including mild left L3-L4 and L4-L5 neural foraminal narrowing. No high-grade neural foraminal stenosis at any level in the lumbar spine.