Male, 64 years old, with left upper extremity contractures. Evaluate for etiology. The cervical lordosis is straightened, but sagittal alignment is otherwise unremarkable. Vertebral body morphology is unremarkable allowing for mild degenerative loss of height of C5, C6 and C7. No evidence of concerning marrow replacement or marrow edema is seen.Spinal cord morphology is altered by multilevel disc osteophytes as discussed below. No convincing evidence of cord signal abnormality is seen. No epidural abnormality is suspected.C2-3: Left greater than right facet hypertrophy. Mild posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild left foraminal narrowing. C3-4: Left greater than right facet hypertrophy. Posterior disc-osteophyte complex formation with a large superimposed central disc extrusion impinges on the ventral spinal cord and causes a moderately severe canal stenosis. Moderate bilateral foraminal narrowing. C4-5: Left facet hypertrophy. Posterior disc-osteophyte complex formation asymmetric to the right. Effacement of the ventral thecal sac with a moderate spinal canal stenosis and minimal if any cord deformation. Moderate bilateral foraminal narrowing. C5-6: Posterior disc-osteophyte complex formation with a small central component which mildly impinges on the cord and causes a mild to moderate spinal canal stenosis. Severe left and moderate right foraminal narrowing. C6-7: Posterior disc-osteophyte complex formation with a small central component which minimally impinges on the cord and causes a mild spinal canal stenosis. Mild bilateral foraminal narrowing. C7-T1: Facet hypertrophy. Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild to moderate bilateral foraminal narrowing.
Multilevel degenerative disc findings are seen. This is most severe at the C3-4 level where disc osteophyte formation and a superimposed central extrusion causing spinal cord impingement and a moderately severe stenosis of the spinal canal.Less severe cord impingement and spinal canal stenosis is seen at C4-5, C5-6 and C6-7. Scattered mild to moderate foraminal narrowing is also demonstrated as detailed above.