Male, 59 years old, with cervical radiculopathy. Spinal alignment is anatomic. Vertebral body morphology is normal. No concerning marrow replacement or marrow edema is seen.The visualized spinal cord demonstrates normal signal intensity. Cord morphology is discussed below.C2-3: Left greater than right facet hypertrophy. No significant spinal canal stenosis. Mild left foraminal narrowing. C3-4: Left greater than right facet hypertrophy. Mild disc osteophyte formation. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. C4-5: Left facet hypertrophy. Mild disc osteophyte formation. No significant spinal canal stenosis. Mild right and moderate left foraminal narrowing.C5-6: Facet hypertrophy. Mild disc osteophyte formation. Mild spinal canal stenosis without significant cord deformation. Moderate bilateral foraminal narrowing. C6-7: Facet hypertrophy. Moderate disc osteophyte formation and thickening of the PLL. Mild flattening of both the ventral and dorsal spinal cord with a moderate generalized canal stenosis. No significant foraminal narrowing. C7-T1: Facet hypertrophy. Mild disc osteophyte formation and thickening of the PLL. No significant spinal canal or neuroforaminal stenosis.
Multilevel cervical spondylosis most severely affecting C5-6 where there is a mild generalized spinal canal stenosis, and C6-7 where there is a moderate generalized spinal canal stenosis and mild impingement of the spinal cord. No evidence of cord edema is seen.