The tonsillar beds bilaterally appear irregular with calcified nodules identified on both sides suggesting prior or chronic inflammation.
There is a gas containing structure immediately posterior to the origin of the esophagus in the midline. There is an air-fluid level and some apparent food debris within this. Appearance is typical of Zenker's diverticulum.
Otherwise, multinodular goiter is noted.
Visualized portion of the cranial structures shows no apparent intracranial
Small 3.3 mm osteoma suspected left ethmoid sinus.
Severe degenerative spondylosis is seen throughout the cervical spine with multilevel disc space narrowing most obvious at C5-6 and C6-7.
Bony defects in the occipital bone near the midline appear to relate to Pacchionian granulation as a normal variant.