Further narrowing of C5-C6 intervertebral disc space with enlarging endplate osteophytes. Remaining intervertebral disc spaces are grossly maintained. There is no acute fracture dislocation seen. There is advancing facet degenerative disease, left greater than right. No acute malalignment or fracture deformities Mild advancement of degenerative disc disease at C5-C6. No acute osseous. There is no fracture or subluxation. The discs show degeneration with loss of normal signal intensity in the discs. There is moderate degenerative disc disease with narrowing at C5-6. There is associated spurring and moderate generalized disc bulging. There is mild to moderate slightly asymmetric disc bulging at the C4-5, slightly more prominent to the right of midline. There is a mild to moderate focal central disc protrusion slightly flattening the anterior spinal cord at C4-5. The cervical spinal cord is otherwise normal.