Patient w/ prostate CA here w/ diffuse weakness, please eval for cervical spinal stenosis/ cord compression Severe degenerative changes of the cervical spine at C3-4, C4-5, C5-6, and C6-7 levels with obliteration of the disc spaces. This is most severe at C3-4 as below. Heterogeneous marrow signal with edema is evident in the vertebral bodies from C3 through C7, most likely degenerative in nature. There is some degenerative loss of vertebral body height. There is grade 1 anterolisthesis of C6 over C7. Normal cervical medullary junction. No definite spinal metastasis.C1-2: No significant spinal canal stenosis or foraminal narrowing.C2-3: Mild disc osteophyte formation. No significant spinal canal or foraminal narrowing.C3-4: Disc osteophyte formation with superimposed right paracentral disc extrusion. Thickening of ligamentum flavum and facet arthropathy. There is significant spinal canal stenosis and impingement of the spinal cord and evidence of cord edema. Mild right foraminal narrowing. Moderate left foraminal narrowing.C4-5: Facet arthropathy, ligamentum flavum thickening, and disc osteophyte formation. There is moderate spinal canal stenosis without cord edema. There is moderate right foraminal narrowing. There is severe left foraminal narrowing.C5-6: Facet arthropathy, ligamentum flavum thickening, left greater than right, and disc osteophyte formation. There is moderate to severe spinal canal stenosis without cord edema. There is bilateral severe foraminal narrowing.C6-7: Facet arthropathy, left greater than right, and disc osteophyte formation. There is mild spinal canal narrowing without cord edema. There is moderate right foraminal narrowing. There is severe left foraminal narrowing.
Severe degenerative changes of the cervical spine from C3 to C7, most severe at the C3-4 level with adjacent cord edema. No definite spinal metastasis. 