Male, 55 years old, with cervical myelopathy, radiculopathy, pain since 1998, numbness and tingling and burning, left upper extremity more than right upper extremity. Spinal alignment is anatomic. Vertebral body heights are preserved. Mild endplate degenerative irregularity is seen at C4-5, C5-6 and C6-7. No evidence of pathologic marrow replacement or edema is seen. The visualized spinal cord demonstrates no signal intensity. Additional details as below.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: Mild uncovertebral hypertrophy. No spinal canal stenosis. Mild foraminal narrowing. No interval changes. C4-5: Facet arthropathy. Posterior disc-osteophyte complex formation with a central disc protrusion, progressed. Along with ligamentum flavum thickening, this causes a severe spinal canal stenosis with cord impingement. The neural foramina are significantly narrowed. C5-6: Facet arthropathy. Posterior disc-osteophyte complex formation with a central disc protrusion, progressed. This causes a severe spinal canal stenosis and cord impingement. The neural foramina are significantly narrowed.C6-7: Facet arthropathy. Posterior disc-osteophyte complex formation with a central disc protrusion. Along with ligamentum flavum thickening, this causes a severe spinal canal stenosis and cord impingement. The neural foramina are narrowed. C7-T1: No spinal canal stenosis or neuroforaminal narrowing.
Progressive degenerative disease in the cervical spine is seen. Specifically, disc osteophyte formation and central disc protrusions at C4-5, C5-6 and C6-7 have worsened resulting in significant spinal canal stenosis, cord impingement, and foraminal narrowing.