Male, 57 years old, with upper extremity paresthesias. Assess for worsening of known cervical disc disease at C6-7. Anterior spinal fusion instruments are evident from C4 through C6. Vertebral body morphology is otherwise unremarkable. Spinal alignment is anatomic.The visualized spinal cord is free of significant or convincing signal abnormality. Details of cord morphology will be discussed by level as follows.C2-3: Facet hypertrophy. Right uncovertebral hypertrophy. No significant spinal canal stenosis. Mild right foraminal narrowing. C3-4: Left facet hypertrophy. Right uncovertebral hypertrophy. Minimal generalized posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild right foraminal narrowing. C4-5: Facet hypertrophy. No significant spinal canal stenosis. No significant foraminal narrowing. C5-6: Mild facet hypertrophy. Mild posterior disc-osteophyte complex formation. Left uncovertebral hypertrophy. No significant spinal canal stenosis. Mild to moderate left foraminal narrowing. C6-7: Facet hypertrophy. Posterior disc-osteophyte complex formation. Ligamentum flavum thickening. Moderate generalized spinal canal stenosis with deformation of cord contour but no definite evidence of cord signal abnormality. Mild to moderate foraminal narrowing.C7-T1: Facet hypertrophy. Right foraminal disc osteophyte formation. No significant generalized spinal canal stenosis. Moderate right foraminal narrowing.
1.Evidence of anterior cervical spine fusion from C4 through C6.2.At the C6-7 level, disc osteophyte formation posterior element hypertrophy contribute to a moderate spinal canal stenosis with some degree of cord impingement but no definite or convincing evidence of cord edema.3.Mild degenerative findings are seen at additional levels without other areas of significant spinal canal stenosis.