Reason: Gait disorder History: above The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology.At C2-3 there is no significant compromise to the neural foramina. There is disk desiccation and a disk bulge at this level associated with mild posterior ligamentous hypertrophy. Overall there is a mild degree of spinal stenosis at this level with some partial effacement of spinal fluid ventral and posterior to the spinal cord.At C3-4 there is disk desiccation and a disk bulge at this level associated with mild posterior ligamentous hypertrophy. Overall there is a moderate degree of spinal stenosis at this level with effacement of spinal fluid ventral and posterior to the spinal cord and mild flattening of the spinal cord. There is some narrowing of the neural foramina bilaterally at this level as a result of bilateral uncovertebral osteophyte formation and disk material. This neural foramen narrowing is worse on the left than the right side. There is encroachment of the exiting nerve roots at this level on the left side.At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is disk desiccation and a disk bulge at this level. There are small uncovertebral osteophytes present at this level.At C5-6 there is no significant compromise to the spinal canal. There is disk desiccation, loss of disk space height and a disk bulge at this level associated with uncovertebral osteophytes. There is some narrowing of the neural foramina bilaterally at this level as a result of bilateral uncovertebral osteophyte formation and disk material. This neural foramen narrowing is worse on the left than the right side. There is encroachment of the exiting nerve roots at this level on the left side.At C6-7 there is no significant compromise to the spinal canal. There is disk desiccation, loss of disk space height and a minor disk bulge at this level associated with uncovertebral osteophytes. There is some narrowing of the neural foramina bilaterally at this level as a result of bilateral uncovertebral osteophyte formation and disk material. There is encroachment of the exiting nerve roots at this level.At C7-T1 there is no significant compromise to the spinal canal. There is disk desiccation, loss of disk space height and a minor disk bulge at this level associated with uncovertebral osteophytes. There is some narrowing of the neural foramina bilaterally at this level as a result of bilateral uncovertebral osteophyte formation and disk material. There is encroachment of the exiting nerve roots at this level.The vertebral artery flow voids appear to be intact.
1.There are multilevel degenerative changes present in the cervical spine with moderate spinal stenosis at C3-4 and a milder spinal stenosis at C2-3 . There is multilevel neural foramen encroachment of the exiting nerve roots present particularly on the left side at C3-4 and C5-6 and bilaterally at C6-7 and C7-T1.