Headaches and neck pain with C3-4 cervical stenosis and instability. There is a prominent posterior disc-osteophyte at C3-4 that impinges upon the spinal cord, which displays focal signal abnormality at this level. There is also severe left and moderate right neural foraminal stenosis at C3-4. There is uncovertebral joint and facet joint hypertrophy bilaterally at C4-5, which result in moderate bilateral neural foraminal and spinal canal stenosis. There is no significant degenerative spondylosis at the other cervical spine levels. The vertebral body heights and signal characteristics are preserved. There is slight retrolisthesis of C3 on C4. The cervical spine alignment is otherwise anatomic. The paraspinal soft tissues are unremarkable.
1. A prominent posterior disc-osteophyte at C3-4 impinges upon the spinal cord, which displays focal signal abnormality at this level. There is also severe left and moderate right neural foraminal stenosis at C3-4. 2. Uncovertebral joint and facet joint hypertrophy bilaterally at C4-5 result in moderate bilateral neural foraminal and spinal canal stenosis. 