The vertebral bodies maintain unremarkable height, alignment and signal characteristics. Suspicion is not raised for compression fracture or marrow replacement. Retropulsion is absent. Dens and posterior elements remain intact. Lordotic straightening is compatible with muscle spasm.

Background spondylosis is reflected by small osteophytes and some facet joint/uncinate process sclerosis.

Some disc desiccation has also developed.

C3-C4 possesses a central/left subligamentous herniation.

Another left sided subligamentous herniated component is encounted at C4-C5.

In addition, broad based annular bulges arise at C2-C3, C5-C6 & C6-C7.

Epidural compartment and thecal sac are effaced.

Exiting neural foramina are also undermined bilaterally, particularly at C3-C4, C4-C5 & C6-C7.

Central canal integrity is compromised. Intercanalicular caliber is mildly reduced. This is somewhat greater at C6-C7, measuring about 1 cm. Spinal cord surface is encroached as well, without resulting in significant deformity.

Cord emanates homogeneous intramedullary matrix pattern. No discrete mass, syrinx or collection is declared. Cerebellar tonsils are mildly low-lying.

IMPRESSION:
Degenerative changes. C3-C4 & C4-C5 herniations. Bulges. Canal impingement produced. Hypolordosis.