Male, 72 years old, with neck pain and radiculopathy radiating down the left arm. Mild reversal of the cervical lordosis is seen. Sagittal alignment is otherwise unremarkable.Mild degenerative loss of vertebral body height is noted. Degenerative endplate edema is seen at C3-4 and C6-7. No definite areas of marrow replacement are seen.The visualized spinal cord demonstrates normal signal intensity throughout. No epidural abnormalities are suspected.C2-3: Moderate right facet arthropathy. No spinal canal stenosis or neuroforaminal narrowing. C3-4: Mild right facet arthropathy. Posterior disc-osteophyte complex formation with loss of disc height. Mild effacement of the ventral thecal sac but no significant generalized spinal canal stenosis. Moderate bilateral foraminal narrowing.C4-5: Moderate right facet arthropathy with degenerative cyst formation. Posterior disc-osteophyte complex formation and ligamentum flavum thickening. Moderate generalized spinal canal stenosis with slight deformation of the spinal cord contour. Moderate bilateral foraminal narrowing.C5-6: Mild bilateral facet arthropathy. Mild posterior disc-osteophyte complex formation with loss of disc height. No significant generalized spinal canal stenosis. Mild right foraminal narrowing. C6-7: Mild bilateral facet arthropathy. Posterior disc-osteophyte complex formation. Mild effacement of the ventral thecal sac without significant spinal canal stenosis. Mild bilateral foraminal narrowing. C7-T1: Moderate bilateral facet arthropathy. Minimal posterior disc-osteophyte complex formation. Ligamentum flavum thickening. Mild generalized spinal canal stenosis. Mild bilateral foraminal narrowing.
Multilevel disc degeneration is seen with scattered variable areas of facet arthropathy. At C4-5, these findings contribute to produce a moderate generalized spinal canal stenosis with slight deformation of the cord contour. Scattered mild to moderate foraminal narrowing is demonstrated as above.