Female, 58 years old, with unspecified abnormalities of gait and mobility, paresthesias skin, cervicalgia, abnormal reflexes. Motion artifact is still present on this examination, though improved relative to the prior study.A reversal of the cervical lordosis is again seen centered at C5-6. Trace retrolisthesis of C5 relative to C6 is unchanged. Elsewhere, sagittal alignment is unremarkable.Vertebral body height and morphology are within normal limits. Degenerative endplate edema is seen at C5-6 and C6-7. Elsewhere, no marrow edema or pathologic marrow replacement is observed.No epidural abnormalities are suspected. The spinal cord shows normal signal intensity and morphology within the limitations of motion artifact.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: No spinal canal stenosis or neuroforaminal narrowing. C4-5: Minimal posterior disc-osteophyte complex formation. No spinal canal or foraminal stenosis. C5-6: Posterior disc-osteophyte complex formation contributing to mild spinal canal stenosis and moderate bilateral foraminal narrowing. C6-7: Posterior disc-osteophyte complex formation causing no significant spinal canal stenosis. Moderate bilateral foraminal narrowing.C7-T1: No spinal canal stenosis or neuroforaminal narrowing.
Disc degeneration is seen most notably affecting the C5-6 and C6-7 levels. Both levels show evidence of foraminal narrowing, and there is a mild generalized spinal canal stenosis at C5-6.