Male, 70 years old, with heaviness in the legs, difficult walking, right more than left lower extremity numbness. Also complains of bilateral hand tingling. Cervical:Alignment is anatomic. Vertebral body height and morphology are within normal limits. Questionable mild edema is evident within the left C6 superior facet likely related to facet arthropathy. Otherwise no concerning marrow replacement or marrow edema is observed.The visualized cord demonstrates normal signal intensity and morphology throughout. No focal lesions are observed. No epidural abnormalities are suspected.C2-3: Facet arthropathy. No spinal canal stenosis or neuroforaminal narrowing. C3-4: Facet hypertrophy. No spinal canal stenosis. Moderate left and mild right foraminal narrowing. C4-5: Facet arthropathy. No spinal canal stenosis. Mild bilateral foraminal narrowing. C5-6: Facet arthropathy. Minimal posterior disc-osteophyte complex formation. No spinal canal stenosis. Moderate left and mild right foraminal narrowing. C6-7: Facet arthropathy. Minimal posterior disc-osteophyte complex formation. Mild bilateral foraminal narrowing. C7-T1: No spinal canal stenosis or neuroforaminal narrowing. Thoracic:Alignment is anatomic. Vertebral body height and morphology are within normal limits. No pathologic marrow replacement or marrow edema is seen.The visualized spinal cord demonstrates normal signal intensity and morphology. No focal lesions are seen. No epidural abnormalities are suspected.The intervertebral discs are preserved. No significant compromise of the spinal canal or neural foramina is seen.
1.Multilevel degenerative findings are seen in the cervical spine, more so affecting the facet joints than the intervertebral discs.2.Scattered variable foraminal narrowing is seen in the cervical region. No high-grade spinal canal stenosis is demonstrated.3.Evaluation of the thoracic spine is within normal limits.