Male, 64 years old, with upper extremity weakness. Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of marrow edema or pathologic marrow enhancement is seen. The visualized spinal cord shows normal signal intensity and is likewise free of pathologic enhancement.C2-3: Facet arthropathy . No significant spinal canal stenosis or neuroforaminal narrowing. C3-4: Facet arthropathy . Mild posterior disc-osteophyte complex formation. No spinal canal stenosis. Mild bilateral foraminal narrowing.C4-5: Facet arthropathy . Posterior disc-osteophyte complex formation. Mild spinal canal narrowing. Moderate left and mild right foraminal narrowing.C5-6: Facet arthropathy . Minimal posterior disc-osteophyte complex formation. No spinal canal stenosis. Moderate left and mild right foraminal narrowing.C6-7: Facet arthropathy . Posterior disc-osteophyte complex formation. No spinal canal stenosis. Moderate bilateral foraminal narrowing.C7-T1: Unremarkable.
Degeneration of the disks and facet joints is seen, resulting in at most mild spinal canal stenosis at C4-5 and mild to moderate scattered foraminal narrowing. No evidence of an inflammatory process is seen.