80-year-old female with fecal incontinence, back pain, and back tenderness. There is partial fusion of the osseous structures of C2-C4, with what may represent associated segmentation anomalies. Moderate loss of disc height at C5, favored to be chronic. There are disc osteophyte complexes at C4-C5 and C5-C6 that cause moderate cervical spinal canal stenosis with an apparent punctate focus of increased T2 signal in the adjacent spinal cord. There is also bilateral moderate neural foraminal stenoses at C4-5 to C5-C6. There is loss of the normal cervical lordosis, but the rest of the vertebral column alignment is intact. There is mild anterior wedge deformity of the T6 vertebra that appears chronic in nature. The thoracic and lumbar spinal cord has normal signal characteristics and morphology. The conus terminates at the L2 level. The vertebral bone marrow signal is grossly unremarkable, aside from scattered areas of focal fat and endplate degenerative changes in the cervical spine. The paraspinous soft tissue structures appear unremarkable. However, there is a 5 mm wide lipoma associated with the left strap muscle overlying the thyroid cartilage.
1. Partial fusion of the osseous structures of C2-C4.2. Disc-osteophyte complexes at C4-C5 and C5-C6 result in moderate cervical spinal canal stenosis, perhaps with mild signal abnormality in the adjacent spinal cord. The degenerative changes may be associated with what may represent segmentation anomalies with fusion of C2 through C4. 3. Bilateral moderate neural foraminal stenoses at C4-5 to C5-C6. 4. Mild anterior wedge deformity at T6 is likely chronic.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.