The neural foramina are the "windows" through which the nerves pass. Patent in this case means "open." So the phrase says this aspect of your bones is normal.
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When neural foramina appear patent, it means that they are open and not blocked or narrowed. This allows for proper passage of nerves and blood vessels through the spaces in the spine, preventing compression and preserving function. It is important for maintaining nerve health and preventing symptoms such as pain and weakness.