Male, 45 years old, with myelopathy. The cervical lordosis is reversed. Sagittal alignment is otherwise unremarkable. Vertebral body height and morphology are within normal limits. No pathologic marrow replacement or edema is seen.The spinal canal is diffusely narrowed beginning at C2 and continuing down to C6 with specific details as follows. The spinal cord through this region shows no areas of focal signal abnormality. No epidural abnormalities are suspected.C2-3: Left facet arthropathy. Posterior disc-osteophyte complex formation with thickening of the PLL. Moderate spinal canal stenosis with slight flattening of the ventral cord. Mild left foraminal narrowing.C3-4: Left facet arthropathy. Posterior disc-osteophyte complex formation. Moderate generalized spinal canal stenosis without significant cord deformation. Moderate left foraminal narrowing. C4-5: Left facet arthropathy. Posterior disc-osteophyte complex formation asymmetric to the right. Moderate generalized spinal canal stenosis without significant cord deformation. No significant spinal canal stenosis. C5-6: Left facet arthropathy. Posterior disc-osteophyte complex formation. Mild generalized spinal canal stenosis without cord deformation. No significant spinal canal stenosis. C6-7: Left facet arthropathy. No significant spinal canal or foraminal stenosis. C7-T1: Unremarkable.
Disc osteophyte disease is evident at multiple levels resulting in spinal canal stenosis from C2-3 through C5-6. C2-3 is the most severely affected level where there is a moderate stenosis and some deformation of the spinal cord. Moderate left foraminal narrowing is also seen at C3-4.