History of occasional neck pain and numbness of right hand and fingers for several years. There is straightening of the normal cervical lordosis without subluxation. The vertebral body and disc space heights are grossly preserved. The discs are desiccated. Mild multilevel degenerative endplate changes as well as marginal osteophytes are noted. The spinal canal is congenitally slender. There is focal abnormally increased T2 signal within the spinal cord at C4-5 and C5-C6 with associated thinning of the cord compatible with chronic myelomalacia. The cord is otherwise normal in caliber. The paravertebral soft tissues are grossly unremarkable. C2-C3: Posterior disc osteophyte complex and facet hypertrophy resulting in mild right and moderate left neuroforaminal stenosis. No significant central canal stenosis.C3-C4: Posterior disc osteophyte complex and facet hypertrophy resulting in mild central canal stenosis, severe left neuroforaminal stenosis, and mild right neuroforaminal stenosis.C4-C5: Posterior disc osteophyte complex and facet hypertrophy resulting in moderate central canal stenosis and moderate bilateral neuroforaminal stenosis.C5-C6: Posterior disc osteophyte complex with superimposed focal central component as well as facet hypertrophy resulting in severe spinal canal stenosis and indentation of the spinal cord as well as moderate bilateral neuroforaminal stenosis.C6-C7: Posterior disc osteophyte complex and facet hypertrophy without significant stenosis.C7-T1: No significant central canal or foraminal stenosis.
Congenitally slender spinal canal. Multilevel cervical spondylosis most pronounced at C5-C6 where there is severe central canal stenosis and at C4-C5 where there is moderate central canal stenosis with associated chronic myelomalacia at both of these levels. Additional scattered neuroforaminal stenosis, some of which is severe.