Male, 79 years old, with neck pain and radiculopathy. The normal cervical lordosis is mildly reversed. Sagittal alignment is otherwise unremarkable. Vertebral body height and morphology are within normal limits. No evidence of marrow replacement or marrow edema is seen.Except as discussed below, the visualized spinal cord demonstrates normal signal intensity and morphology. No epidural abnormalities are suspected. Multiple bilateral perineural root sleeve cysts are seen within the neural foramina in the lower cervical spine.C2-3: Mild facet hypertrophy. Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild left foraminal narrowing. C3-4: Posterior disc-osteophyte complex formation. Ligamentum flavum thickening. Mild to moderate generalized spinal canal stenosis with slight deformation of the spinal cord but no cord signal abnormality. Mild left foraminal narrowing. C4-5: Facet hypertrophy. No significant spinal canal stenosis. No significant foraminal narrowing. C5-6: Mild posterior disc-osteophyte complex formation. Mild generalized spinal canal stenosis with slight flattening of the ventral cord but no cord signal abnormality. Mild bilateral foraminal narrowing. C6-7: No significant spinal canal or neuroforaminal stenosis. C7-T1: No significant spinal canal or neuroforaminal stenosis.
Multilevel degenerative findings are seen, most notably at C3-4 where there is a mild to moderate generalized spinal canal stenosis, and at C5-6 where there is a mild generalized spinal canal stenosis.