Male, 57 years old, with history of multiple myeloma and new neck pain radiating down the right arm. Radiographs of the cervical spine show severe DJD and narrowing. Trace retrolisthesis of C5 relative to C6 is seen. There is a mild focal kyphotic angulation centered at the C5-6 level. Otherwise, alignment is unremarkable.Vertebral body height and morphology are within normal limits. No pathologic marrow replacement or enhancement is seen.The visualized spinal cord demonstrates normal signal intensity and morphology except as discussed below. No pathologic cord signal abnormality or enhancement is seen. No epidural abnormalities are suspected.C2-3: Mild left facet hypertrophy. No significant spinal canal stenosis or neuroforaminal narrowing. C3-4: Unremarkable. C4-5: Unremarkable. C5-6: Loss of disc height with disc osteophyte formation. Mild effacement of the ventral thecal sac and perhaps mild flattening of the ventral cord. Mild generalized spinal canal narrowing. Moderate bilateral foraminal narrowing. C6-7: Loss of disc height with disc osteophyte formation. Mild effacement of the ventral thecal sac with perhaps minimal flattening of the ventral cord. Mild generalized spinal canal narrowing. Severe bilateral foraminal narrowing.C7-T1: Unremarkable.
1.Disc degeneration is evident at C5-6 and C6-7 with loss of disc height, disc osteophyte formation and mild narrowing of the spinal canal. At C6-7, however, there is severe bilateral foraminal narrowing.2.No evidence of active myelomatous disease in the cervical spine.