 Image quality has decreased due to motion artifacts.There are moderate to severe spinal canal stenosis from C45 to C56. Increased T2/STIR signal intensity of spinal cord is seen at the level of C56 which suggest possible compressive myelopathy.No evidence of abnormal enhancement.Normal cervical lordosis is seen with preservation of vertebral body heights. No fracture or infiltrative marrow process. Degenerative findings include: C2-3: No evidence of neuroforaminal or spinal canal stenosis.C3-4: Minimal to mild left side neuroforaminal narrowing, no evidence of spinal canal stenosis.C4-5: Diffuse bulging of disc results minimal spinal canal stenosis.C5-6: Diffuse bulging of disc with broad based central disc protrusion (best seen on post contrast enhanced sagittal scan; series 1301, image 6) with bilateral ligamentum flavum thickening results moderate to severe spinal canal stenosis.C6-7: Broad based disc bulging with focal central disc protrusion which indents thecal sac. Otherwise unremarkable. C7-T1: No evidence of neuroforaminal or spinal canal stenosis.
1. Moderate to severe spinal canal stenosis with broad based central disc protrusion at the level of C56 with possible myelopathy.2. Multilevel various degree cervical spine degenerative changes.