Male, 83 years old, with neck and arm pain, altered gait. Spinal alignment is anatomic. Vertebral body heights are preserved. Marrow signal characteristics are heterogeneous but benign. Endplate marrow signal change is seen related to disc degeneration. No evidence of significant marrow edema is detected.C2-3: Unremarkable. C3-4: Right greater than left facet hypertrophy. Ligamentum flavum thickening. Posterior disc-osteophyte complex formation. Moderate generalized spinal canal stenosis. Slight cord deformation but no cord signal abnormality. Moderate to severe bilateral foraminal narrowing. C4-5: Left greater than right facet hypertrophy. Ligamentum flavum thickening. Posterior disc osteophyte complex formation. Severe generalized spinal canal stenosis. Spinal cord deformation but no cord signal abnormality. Moderate left and mild right foraminal narrowing. C5-6: Left facet hypertrophy. Ligamentum flavum thickening. Posterior disc-osteophyte complex formation asymmetric to the right. Severe generalized spinal canal stenosis. Cord deformation but no cord signal abnormality. Moderate to severe right and minimal left foraminal narrowing. C6-7: Bilateral facet hypertrophy. Mild posterior disc-osteophyte complex formation. Mild generalized spinal canal stenosis. No mass effect upon the cord. Moderate bilateral foraminal narrowing. C7-T1: Facet hypertrophy. No significant spinal canal or foraminal stenosis.
Multilevel cervical spondylosis with moderate spinal canal stenosis at C3-4, and severe spinal canal stenosis at C4-5 and C5-6. The spinal cord is deformed at these levels but there is no evidence of cord signal abnormality. Scattered foraminal narrowing is also noted as discussed above.