Male, 68 years old, with right flank pain. Assess for cord compression. Spinal alignment is anatomic. Vertebral body heights are preserved. Mild endplate edema is seen at C5, C6 and C7, with mild edema extending to the left C7 pedicle.The visualized spinal cord demonstrates normal signal intensity and morphology. No epidural abnormality is suspected.The intervertebral discs are diffusely degenerated with loss of disc height and endplate irregularity. Additional level specific findings are as follows:C2-3: Right greater than left facet hypertrophy. Minimal posterior disc-osteophyte complex formation. No spinal canal stenosis. Mild bilateral foraminal narrowing. C3-4: Facet hypertrophy. Minimal posterior disc-osteophyte complex formation. No spinal canal stenosis. Moderate to severe bilateral foraminal narrowing. C4-5: Facet hypertrophy. Minimal posterior disc-osteophyte complex formation. Mild spinal canal narrowing. Moderate bilateral foraminal narrowing. C5-6: Facet hypertrophy. Posterior disc-osteophyte complex formation. Mild spinal canal narrowing. Severe bilateral foraminal narrowing. C6-7: Facet hypertrophy. Posterior disc-osteophyte complex formation. Mild spinal canal narrowing. Moderate bilateral foraminal narrowing. C7-T1: Facet hypertrophy. Posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild bilateral foraminal narrowing.
1.Diffuse disc degeneration with loss of disc height and endplate irregularity at every level.2.Disc osteophyte formation is seen but this results in at most a mild spinal canal stenosis at several levels. Variable foraminal narrowing is seen ranging from mild to severe.