Male, 90 years old, with neck pain and tingling in the right hand. Spinal alignment is grossly anatomic. Vertebral body heights are preserved. No evidence of pathologic marrow replacement or marrow edema is seen. Cystic change is demonstrated within the odontoid process along with mild surrounding pannus formation, likely degenerative in nature.The visualized spinal cord demonstrates normal signal intensity throughout. No epidural abnormalities are suspected.The spinal canal is congenitally slender. Additional level specific degenerative findings are superimposed as follows:C2-3: Mild facet hypertrophy. Posterior disc-osteophyte complex formation with a small central component which mildly effaces the ventral thecal sac but causes no significant cord impingement. No significant foraminal narrowing. C3-4: Right greater than left facet hypertrophy. Mild posterior disc-osteophyte complex formation causing mild effacement of the ventral thecal sac. Severe right and mild left foraminal narrowing. C4-5: Right facet hypertrophy. Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. C5-6: Right greater than left facet hypertrophy. Mild posterior disc-osteophyte complex formation. Mild generalized spinal canal stenosis. Severe right and moderate left foraminal narrowing. C6-7: Left greater than right facet hypertrophy. Posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. C7-T1: Bilateral facet hypertrophy. Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild left foraminal narrowing.
1.Multilevel disc degeneration and posterior element hypertrophy is seen which nevertheless results in only mild compromise of the spinal canal and no obvious cord impingement.2.Multilevel foraminal narrowing is demonstrated, however, and this is severe on the right at C3-4 and C5-6.