Developmentally narrow cervical spine bony canal with segmental ossification of the posterior longitudinal ligament (OPLL) from C2 to C7 levels causing spinal canal stenosis, worse at C5 and C6 level (0.8 cm in AP diameter).
Mild reduction in the vertebral body heights of C5 and C6 vertebra, however, no cortical break seen to suggest acute fracture. The alignment, rest of vertebral body and disc heights are preserved. Atlanto-axial and atlanto-occipital joints are preserved. No facet joint subluxation or dislocation. No prevertebral soft tissue thickening.
Incidental left thyroid nodule.
Overall findings suggestive of congenital cervical stenosis with OPLL. No acute cervical bony injury.