Male, 61 years old, with loss of dexterity and concern for myelopathy. Evaluate for cord signal abnormality. Sagittal alignment is anatomic. Vertebral body heights are preserved. Degenerative endplate irregularity and signal alteration are noted at C5-6. Otherwise, morphology and signal characteristics of the vertebral bodies are within normal limits. No concerning marrow replacement or marrow edema is detected.The visualized spinal cord demonstrates normal signal intensity and morphology. No cord edema or focal cord lesions are seen. No epidural abnormalities are suspected.C2-3: Mild facet hypertrophy. No significant spinal canal or foraminal stenosis. C3-4: Mild facet hypertrophy. No significant spinal canal or foraminal stenosis. C4-5: Mild facet hypertrophy. No significant spinal canal or foraminal stenosis.C5-6: Mild facet hypertrophy. Loss of disc height and disc osteophyte formation. Mild generalized spinal canal narrowing without frank cord impingement. Mild bilateral foraminal narrowing. C6-7: Mild facet hypertrophy. No significant spinal canal or foraminal stenosis. C7-T1: Mild facet hypertrophy. Minimal disc osteophyte formation. No significant spinal canal or foraminal stenosis.
1.No evidence of spinal cord myelopathy.2.Disc degeneration at C5-6 contributing to mild spinal canal stenosis and mild foraminal narrowing.3.The remaining cervical levels are free of significant spinal canal or foraminal compromise.