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FINDINGS : Limited evaluation of the posterior fossa is normal.Normal craniocervical juction. There is straightening of the normal cervical spine lordosis. The height of the cervical spine vertebral bodies is maintained. The bone marrow signal is within normal limits for the patient's age. There is moderate disc desiccation and disc narrowing at the C5-C6 level. At this level there is prominent anterior and posterior osteophyte formation. There are degenerative endplate signal changes at this level as well . There is no significant edema throughout the vertebral bodies of the paraspinal soft tissues.
Axial images are as follows:
At C2-C3 level there is no significant central canal or foraminal stenosis.
At C3-C4 level there is minimal disc bulge without significant central canal stenosis. Minimal right side foraminal stenosis.
At: C4-C5 level there is minimal disc bulge with likely tiny central anular tear without significant central canal stenosis. There is minimal right sided foraminal stenosis.
At C5-C6 level there is diffuse disc bulge and endplate osteophyte more eccentric towards to the right tresulting in minimal impression upon the ventral spinal cord. However, there is evidence for bilateral cord signal abnormality at this level best seen on axial image 16 of series 5, sagittal image 9 of series2. There is marked right sided foraminal stenosis likely exiting nerve root impingement. Morerate left sided foraminal stenosis.
At: C6-C7 level there is no significicant central canal or foraminal stenosis
At: C7-T1 level there is no significicant central canal or foraminal stenosis
1. Straightening of the normal cervical spine lordosiswhich could be due to muscle spasm
2. At the C5-C6 level there is diffuse disc osteophyte complex more eccentric towards the right with minimal impresion upon the ventral spinal cord and associated cord signal abnormality.There is marked right sided foraminal stenisis with likey exiting nevre root impingement.
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Thank you for any help John