Male, 80 years old, with imbalance. Spondylolisthesis noted on report. Assess for cord impingement. The cervical lordosis is mildly exaggerated, but sagittal alignment is otherwise unremarkable.Vertebral body height and morphology are within normal limits. No worrisome marrow replacement is seen. Mild degenerative endplate edema is seen at C5-6.Except as discussed below, the visualized spinal cord demonstrates normal morphology. No areas of cord signal abnormality are detected.C2-3: Mild facet hypertrophy. No spinal canal stenosis. No significant foraminal narrowing. C3-4: Left greater than right facet hypertrophy. Posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Severe left and moderate to severe right foraminal narrowing. C4-5: Left greater than right facet hypertrophy. Posterior disc-osteophyte complex formation. Moderate generalized spinal canal narrowing with perhaps a very slight contact between the disc osteophyte and the cord. No significant cord deformation is seen. No abnormal cord signal is detected. Severe bilateral foraminal narrowing. C5-6: Facet hypertrophy. Posterior disc-osteophyte complex formation. Moderate generalized spinal canal stenosis with mild impingement of the ventral cord. No cord signal abnormality. Moderate bilateral foraminal narrowing. C6-7: Posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. C7-T1: Posterior disc-osteophyte complex formation. No significant spinal canal stenosis. No significant foraminal narrowing. Perineural root sleeve cysts are evident in several of the upper thoracic neural foramina.
At least moderate multilevel disc degeneration is seen. Most severely affected are the C4-5 level, with a moderate generalized spinal canal stenosis and minimal if any cord impingement; and C5-6 where there is a moderate generalized spinal canal stenosis and mild cord impingement. Scattered neuroforaminal narrowing is also evident ranging from mild to severe.