48-year-old male with history of back pain. The cranial-cervical junction is normal. There is slight straightening of the normal cervical lordosis. The cervical spine alignment is anatomic. The vertebral body heights are preserved. The bone marrow and end plates demonstrate a normal MR appearance. The spinal canal is developmentally narrowed. At the levels of C2-C7, there is decreased AP spinal cord measurement likely the result of a developmentally narrowed canal as well as mild degenerative disc disease which will be described in detail below. The paraspinal soft tissues are unremarkable.Degenerative changes are specified by the intervertebral level as follows: C2-C3: There is no significant disc abnormality. No spinal canal or neuroforaminal stenosis.C3-C4: There is a disc bulge resulting in mild spinal canal stenosis. No significant neuroforaminal stenosis.C4-C5: There is moderate disc bulge with a central prominence causing moderate spinal canal stenosis. No significant neuroforaminal stenosis.C5-C6: There is a moderate disc bulge with a right paracentral prominence causing moderate spinal canal stenosis. No significant neuroforaminal stenosis.C6-C7: There is no significant disc abnormality. No spinal canal or neuroforaminal stenosis.C7-T1: There is no significant disc abnormality. No spinal canal or neuroforaminal stenosis.
1. No evidence of acute cervical cord compression.2. Developmentally narrowed spinal canal with mild degenerative changes resulting in mild to moderate spinal canal stenosis worse at C4-5 and C5-6, with flattening of the cord.