77-year-old man with known stroke, has clonus on the left side Examination is severely motion degraded. Vertebral body heights are normal. There is grade 1 anterolisthesis of C4 on C5, C5 on C6, and C6 on C7. Degenerative changes are seen including small disc osteophyte complexes and ligamentum flavum thickening. Mild to moderate spinal canal stenosis is suspected at the C4-C5 and C5-C6 levels. Up to moderate neural foraminal stenosis is also suspected at multiple levels poorly evaluated. Examination is inadequate to assess for cord signal abnormality.
Severely motion degraded exam demonstrating mild to moderate multilevel degenerative changes. Mild to moderate spinal canal stenosis is suspected at the C4-C5 and C5-C6 levels. No evidence of frank cord compression or cord mass within the limitations of the study. Examination is inadequate to assess for cord signal abnormality. Consider repeat examination with sedation if there is significant suspicion for cervical cord pathology.