C7 lesion seen on CT and history of hepatocellular carcinoma. There is diffuse low T1 and T2 signal in the C6 and C7 adjacent to the disc space, with associated mild patchy enhancement related to underlying degenerative spondylosis. In particular, at C6-7, there is a disc-osteophyte complex that results in moderate spinal canal stenosis and bilateral neural foraminal stenosis. In addition, at C7-T1, there is 5 mm of anterolisthesis and a disc-osteophyte complex, as well as ligamentum flavum thickening that results in severe spinal canal and bilateral neural foraminal stenosis. There is also rather significant bilateral neural foraminal stenosis and mild spinal canal narrowing at C3-4. The degenerative spondylosis at other levels is otherwise less pronounced. The vertebral body heights are preserved. The spinal cord displays normal signal characteristics. There is no evidence of mass lesions within the cervical spine. The paraspinal soft tissues and imaged intracranial contents are unremarkable. There appear to be small retention cysts in the bilateral maxillary sinuses.
1. Sclerotic degenerative endplate alterations at C6-7 and an associated disc-osteophyte complex that results in moderate spinal canal stenosis and bilateral neural foraminal stenosis, but no findings specific for metastatic disease.2. At C7-T1, 5 mm of anterolisthesis and a disc-osteophyte complex, as well as ligamentum flavum thickening result in severe spinal canal and bilateral neural foraminal stenosis.3. Rather significant bilateral neural foraminal stenosis and mild spinal canal narrowing at C3-4. 