Pain. Evaluate for stenosis. There is straightening of the normal cervical lordosis with minimal anterolisthesis of C7 on T1. The vertebral body heights are preserved. There is mild loss of multiple disc height of the cervical spine. The vertebral bone marrow signal is unremarkable. There is questionable T2 signal abnormality involving the cervical cord at the C1 level ventrally near the midline seen on the sagittal T2 and STIR images although not corroborated on the axial images. Otherwise no definite cord signal abnormality. The paravertebral soft tissues are unremarkable. Incidentally noted is a retrocerebellar arachnoid cyst or a mega cisterna magna and the incompletely evaluated.C1-C2: Mild to moderate spinal canal stenosis superimposed on congenitally narrowed canal.C2-C3: No significant disc bulge, spinal canal or foraminal stenosis. C3-C4: Posterior disc osteophyte complex, bilateral facet degeneration and thickening of the ligamentum flavum, contributing to moderate spinal canal stenosis with mild flattening of the cord and mild right and moderate left foraminal stenosis. C4-C5: Posterior disc osteophyte complex, bilateral facet degeneration and thickening of the ligamentum flavum, contributing to mild to moderate spinal canal stenosis and moderate bilateral foraminal stenosis. C5-C6: Posterior disc osteophyte complex, bilateral facet degeneration and thickening of the ligamentum flavum, contributing to mild spinal canal stenosis and moderate bilateral foraminal stenosis. C6-C7: Posterior disc osteophyte complex, bilateral facet degeneration and thickening of the ligamentum flavum, contributing to mild spinal canal stenosis and moderate bilateral foraminal stenosis. C7-T1: No significant disc bulge, spinal canal or foraminal stenosis.
1. Advanced degenerative changes of the cervical spine, most prominent at C3-C4, with moderate spinal canal stenosis at this level superimposed upon a congenitally narrow canal. Variable multilevel foraminal stenosis as described.2. Questionable T2 signal abnormality at the C1 level seen on sagittal T2 and STIR sequence and not corroborated on the axial images. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.