Male, 81 years old, with weakness. Alignment is grossly anatomic. Vertebral body heights are preserved. Marrow signal characteristics are somewhat heterogeneous which is likely degenerative in nature. No areas of pathologic marrow replacement or edema are seen.The spinal canal is narrowed at all levels in the cervical spine beginning at C3-4. The spinal cord is impinged to varying degrees at these levels with associated cord thinning and mild somewhat diffuse cord signal abnormality.Incidental note is made of an enlarged and heterogeneous thyroid gland, particularly on the left. The right vertebral artery flow void is not well visualized which can indicate occlusion or slow flow.C2-3: Facet arthropathy, right worse than left. Posterior disc-osteophyte complex formation. No significant spinal canal stenosis. No significant foraminal narrowing.C3-4: Facet arthropathy and ligamentum flavum thickening. Posterior disc-osteophyte complex formation. Severe generalized spinal canal stenosis with marked cord flattening. Moderate bilateral foraminal narrowing. C4-5: Facet arthropathy and ligamentum flavum thickening. Posterior disc-osteophyte complex formation. Severe generalized spinal canal stenosis with marked cord flattening. Severe bilateral foraminal narrowing. C5-6: Facet arthropathy. Posterior disc-osteophyte complex formation. Moderate generalized spinal canal stenosis with slight indentation of the cord. Severe bilateral foraminal narrowing. C6-7: Facet arthropathy. Posterior disc-osteophyte complex formation. Moderate generalized spinal canal stenosis with slight indentation of the cord. Severe bilateral foraminal narrowing. C7-T1: Facet arthropathy. Posterior disc-osteophyte complex formation. Moderate generalized spinal canal stenosis with slight indentation of the cord and evidence of myelomalacia. Severe bilateral foraminal narrowing.
Multilevel cervical spondylosis is seen resulting in significant compromise of the spinal canal at most levels with impingement of the spinal cord. The spinal cord is thinned and demonstrates abnormal T2 signal compatible with myelomalacia. Multilevel severe foraminal compromise is also noted.Incidental note is made of an enlarged and heterogeneous thyroid gland which can be further assessed with nonemergent dedicated thyroid sonography if clinically warranted.