Male, 71 years old, with gait abnormality, with dragging right leg and decreased arm swelling, normal DaTscan and MRI without significant abnormality. Assess for cervical spine abnormality. Spinal alignment is anatomic. Vertebral body morphology and signal characteristics are within normal limits allowing for mild endplate edema at C4-5 and C6-7. No pathologic marrow enhancement is observed.The visualized spinal cord demonstrates normal signal intensity and morphology. No pathologic cord or leptomeningeal enhancement is seen. No epidural abnormalities are suspected.Significant loss of disc height is evident at C4-5 and C6-7. Additional level specific findings are as follows:C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: Ligamentum flavum thickening. Posterior disc-osteophyte complex formation. Mild generalized spinal canal narrowing without cord impingement. Mild to moderate bilateral foraminal narrowing. C4-5: Ligamentum flavum thickening. Posterior disc-osteophyte complex formation. Mild generalized spinal canal narrowing without cord impingement. Severe left and moderate right foraminal narrowing.C5-6: Facet hypertrophy. Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Moderate left foraminal narrowing. C6-7: Facet hypertrophy. Posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Moderate left and mild right foraminal narrowing. C7-T1: Facet hypertrophy. No significant spinal canal or foraminal stenosis.
Multilevel degenerative findings are evident resulting in at most mild spinal canal narrowing with no evidence of cord impingement. However, significant foraminal narrowing is seen, most notably on the left at C4-5.