81-year-old female with left hand numbness and neck pain. Evaluate for cervical stenosis. There is slightly exaggerated cervical lordosis compared with the previous exam, but there is no spondylolisthesis. The vertebral body heights are maintained. There is disc height loss most prominently involving the C4-5, C5-6 and C6-7 levels. The bone marrow signal is within normal limits. The cervical spinal cord displays normal signal characteristics. The vertebral artery flow voids appear to be intact. At C2-3, there is a small central disc protrusion without spinal canal or neuroforaminal stenosis. At C3-4, there is a small disc osteophyte complex with facet hypertrophy, which contributes to mild spinal canal stenosis. There is also mild right neuroforaminal narrowing. At C4-5, there has been interval progression of the posterior disc osteophyte complex and superimposed central disc protrusion, which contributes to moderate spinal canal stenosis. There is right greater than left facet and uncovertebral hypertrophy at this level which contributes to moderate right and mild left neural foraminal stenosis. At the C5-6 level, there has been interval progression of the posterior disc osteophyte complex, as well as facet hypertrophy, which contributes to moderate spinal canal stenosis. There is facet and uncovertebral hypertrophy, which causes moderate bilateral neural foraminal narrowing at this level. At the C6-7 level is a small posterior disc osteophyte complex, uncovertebral joint hypertrophy, and facet hypertrophy with mild to moderate bilateral neural foraminal stenosis, as well as slight spinal canal narrowing. At the C7-T1 level, there is significant compromise to the spinal canal or neural foramina.The paraspinous soft tissue structures appear within normal limits.
Multilevel degenerative spondylosis with some progression compared to previous exam, most notably involving the C4-5, C5-6, and C6-7 levels.