Male, 70 years old, with tingling and cervical radiculopathy on EMG. At most, there is a trace retrolisthesis of C5 relative to C6. Spinal alignment is otherwise anatomic.Degenerative endplate irregularity is evident at C5-6 and C6-7. Elsewhere, vertebral body morphology and marrow signal characteristics are unremarkable.Loss of disk height is seen at C5-6 and C6-7. Additional level specific findings are as follows:C2-3: Mild uncovertebral hypertrophy, left more than right. No significant spinal canal stenosis or neuroforaminal narrowing.C3-4: Mild uncovertebral hypertrophy. No significant spinal canal stenosis. Mild bilateral foraminal narrowing.C4-5: Posterior disk osteophyte formation resulting in a mild generalized spinal canal stenosis with deformation of the left ventral cord. No cord signal abnormality is detected. Moderate bilateral foraminal narrowing. C5-6: Posterior disk osteophyte formation resulting in a severe spinal canal stenosis with generalized canal narrowing and cord deformation but with particular impingement of the left ventral cord. No cord signal abnormality. Moderate bilateral foraminal narrowing. C6-7: Posterior disk osteophyte formation resulting in a severe spinal canal stenosis with generalized cord deformation. No cord signal abnormality. Severe bilateral foraminal narrowing. C7-T1: Left facet hypertrophy causing mild left foraminal narrowing. No significant disk disease or spinal canal stenosis.
1. Multilevel cervical spondylosis resulting in mild spinal canal stenosis at C4-5 and severe stenoses at C5-6 and C6-7.2. Areas of predominantly left ventral cord impingement as above. No evidence of cord edema is seen.3. Scattered foraminal narrowing ranging from mild to severe.