Male, 91 years old. Altered mental status s/p fall. Assess cervical spine for etiology of fall This exam is significantly limited by motion artifact. Multiple sequences were repeated.The cranial-cervical junction is normal. There is loss of the normal cervical lordosis. Otherwise, the cervical spine alignment is anatomic. The vertebral body height is preserved. There are fatty marrow changes involving multiple cervical vertebral bodies, likely degenerative in etiology. Within the limits of artifact, the signal of the visualized cord is normal. There is no evidence of cord compression or mass. The paraspinal soft tissues are unremarkable. STIR hyperintensity within the subcutaneous fat likely relates to dependent edema.Degenerative changes are specified by the intervertebral level as follows: C2-C3: There is mild disc bulge, facet hypertrophy, and ligamentum flavum thickening with mild spinal canal stenosisC3-C4: There is moderate to severe disc height loss, diffuse posterior disc osteophyte complex formation, uncovertebral and facet joint hypertrophy, and ligamentum flavum hypertrophy with moderate spinal canal narrowing, moderate to severe left neural foraminal narrowing and moderate right neural foraminal narrowing.C4-C5: There is moderate to severe disc height loss, diffuse posterior disc osteophyte complex formation with right paracentral/foraminal prominence, uncovertebral and facet joint hypertrophy, and ligamentum flavum hypertrophy with moderate to severe spinal canal stenosis, moderate to severe right neural foraminal narrowing and moderate left neural foraminal narrowing.C5-C6: There is severe disc height loss with partial fusion of the vertebral bodies, and uncovertebral joint hypertrophy, with mild left neural foraminal narrowing and no significant spinal canal stenosis.C6-C7: There is moderate disc height loss, diffuse posterior disc osteophyte complex formation, and uncovertebral joint hypertrophy, with mild left neural foraminal narrowing.C7-T1: There is minimal 2 mm anterolisthesis of C7 over T1 with disc uncovering and with no significant spinal canal or neuroforaminal narrowing.
1.Degenerative changes involving the cervical spine including up to moderate-to severe-spinal canal stenosis at the C4-5 level, without associated abnormality of cord signal or morphology.2.No evidence of traumatic abnormality involving the cervical spine.