Male, 58 years old, with cervical osteophyte seen on CT. Evaluate for stenosis. The cervical lordosis is mildly straightened. There is a trace retrolisthesis of C3 relative to C4. Alignment is otherwise unremarkable.Vertebral body height and morphology are within normal limits. Allowing for endplate degenerative changes, the marrow signal is within normal limits. No evidence of edema is seen.The spinal cord shows normal signal intensity and morphology. No epidural abnormalities are suspected.Supraglottic mucosal edema is partially visualized likely related to prior therapy. Patchy opacification of the right mastoid air cells is seen.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: Mild posterior disc-osteophyte complex formation particularly along the left uncovertebral joint. No spinal canal stenosis. Moderate left foraminal narrowing. C4-5: Posterior disc-osteophyte complex formation asymmetric to the right. No spinal canal stenosis. Mild right foraminal narrowing. C5-6: Posterior disc-osteophyte complex formation. No spinal canal stenosis. Moderate right foraminal narrowing. C6-7: Mild posterior disc-osteophyte complex formation. No spinal canal stenosis. Severe left and moderate right foraminal narrowing. C7-T1: Facet arthropathy. Minimal posterior disc-osteophyte complex formation. No spinal canal stenosis. No foraminal narrowing.
Multilevel disc degeneration is seen. No significant spinal canal stenosis is detected. However, severe foraminal narrowing is seen on the left at C6-7 with mild to moderate foraminal narrowing elsewhere.