Female, 67 years old, with weakness in the left arm and leg, worsening gait. Evidence for anterior instrumented fusion is seen from C4 through C6. Spinal alignment is anatomic. Vertebral body heights are preserved. No worrisome marrow replacement or pathologic marrow enhancement is seen.The visualized spinal cord demonstrates normal signal intensity throughout. No pathologic intramedullary or leptomeningeal enhancement is seen. No epidural abnormalities are suspected.C2-3: Unremarkable. C3-4: Mild posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. C4-5: Obliteration of the disc space. No significant spinal canal or foraminal stenosis. C5-6: Near obliteration of the disc space. No significant spinal canal or foraminal stenosis. C6-7: Ligamentum flavum thickening. Minimal posterior disc-osteophyte complex formation. Mild spinal canal stenosis. No significant foraminal narrowing. C7-T1: Unremarkable.
1.Evidence of anterior instrumented fusion from C4 through C6.2.Mild disc degeneration and ligamentum flavum thickening result in mild spinal canal stenosis at C6-7.3.Elsewhere, no high-grade spinal canal or foraminal narrowing is detected.