 Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. Degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: Disc osteophyte complex and ligamentum flavum thickening. There is mild narrowing of the spinal canal. No significant neural foraminal stenosis.C4-5: Disc osteophyte complex and ligamentum flavum thickening result in moderate to severe spinal canal stenosis with flattening of the cord. There is suggestion of volume loss. There is adjacent cord signal abnormality at the upper C5 level involving the cord bilaterally. There is moderate bilateral neural foraminal stenosis related to uncovertebral hypertrophy. C5-6: Disc osteophyte complex and ligamentum flavum thickening result in moderate spinal canal stenosis and mild deformity of the cord. There is severe right and moderate left neural foraminal stenosis related to uncovertebral hypertrophy. C6-7: Disc osteophyte complex and ligamentum flavum thickening result in mild to moderate spinal canal stenosis. There is mild to moderate neural foraminal stenosis on the right related to osteophyte. Mild left neural foraminal narrowing. C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.LUMBAR SPINE
1. Multilevel degenerative changes in the cervical spine with disc osteophyte complexes and ligamentum flavum thickening at C3-C4, C4-C5, C5-C6, and C6-C7 which is associated with significant spinal canal stenosis as described above. Findings are most severe at the C4-C5 level where there is flattening of the cord and T2 hyperintensity which is favored to be related to myelomalacia. 2. Multilevel degenerative changes in the lumbar spine with moderate spinal canal stenosis at L2-L3, L3-L4, and L4-L5 related to combination of degenerative changes and prominence of the epidural fat. Additional details as above.