Male, 67 years old, with myelopathy. Slight progression of a focal kyphotic angulation at C3-4 is seen related to interval worsening of disc and endplate degeneration at this level. Elsewhere, sagittal alignment is unremarkable. Overall, the vertebral body heights are preserved. There are no areas of pathologic marrow edema or replacement.The visualized spinal cord demonstrates normal signal intensity throughout. No epidural abnormalities are suspected.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: Progressive degeneration of the disc and adjacent endplates. Posterior disc-osteophyte complex formation which mildly contacts the ventral cord. No significant generalized spinal canal stenosis. Severe left foraminal narrowing, progressed. C4-5: Mild posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Severe left foraminal narrowing, slightly progressed. C5-6: Mild posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Moderate left foraminal narrowing. No interval changes. C6-7: Minimal posterior disc-osteophyte complex formation. No spinal canal stenosis. Mild left foraminal narrowing. No interval changes.C7-T1: No spinal canal stenosis or neuroforaminal narrowing.
Progression of degenerative disease is seen at several levels in the cervical spine. No areas of high-grade spinal canal stenosis are noted. However, severe foraminal narrowing is evident on the left at C3-4 and C4-5, with moderate foraminal narrowing on the left at C5-6.