FINDINGS Normal vertebral body height and marrow signal. There is reversal of the normal cervical lordosis. At C3-C4, there is a broad-based disc bulge, asymmetric to the left with moderate to severe encroachment on the anterior CSF space.There is no cord compression at this level. At C4-C5, there is a broad-based disc bulge with severe left-sided and moderate right-sided neural foraminal stenosis.At C5-C6, there is a left-central disc extrusion with effacement of the anterior and posterior CSF spaces. Cord flattening with moderate cord compression are also seen, but no evidence of cord edema. There is severe left and mild to moderate right-sided neural foraminal stenosis at this level. At C6-C7, there is a broad-based disc bulge asymmetric to the right, resulting in severe encroachment of the anterior CSF space. There is slight flattening of the right side of the spinal cord without evidence of cord compression. There is moderate bilateral neural foraminal stenosis at this level. IMPRESSION 1. Multilevel degenerative changes, most severe at C5-C6,resulting in cord flattening and moderate cord compression. No evidence of cord edema. 2. Multilevel neural foraminal stenosis as described above, most severe at C4-C5 and C5-C6 I do not understand this doctor did not explain