Female, 64 years old, with neck pain and arthritis. Spinal alignment is grossly anatomic. Vertebral body heights are preserved. Patchy inhomogeneous marrow signal is seen, but there are no aggressive or worrisome lesions. No evidence of marrow edema is observed. The visualized spinal cord shows normal signal intensity throughout. No epidural abnormalities are suspected. The spinal canal is congenitally slender, with superimposed degenerative findings as follows:C2-3: Posterior disc-osteophyte complex formation with central focality which just contacts the ventral cord. No significant spinal canal or foraminal compromise. C3-4: Posterior disc-osteophyte complex formation with a small central extrusion which contacts and slightly flattens the ventral cord. Mild generalized spinal canal narrowing. No significant foraminal compromise. C4-5: Posterior disc-osteophyte complex formation with a right paracentral protrusion or extrusion which contacts and mildly deforms the ventral cord. Moderate generalized spinal canal narrowing. No significant foraminal compromise. C5-6: Posterior disc-osteophyte complex formation with central focality which just contacts the ventral cord. No significant spinal canal or foraminal compromise. C6-7: Posterior disc-osteophyte complex formation with central focality. No significant canal or foraminal compromise. C7-T1: Unremarkable.
Multilevel disc degeneration is seen most severely affecting C3-4 and C4-5 where there is mild to moderate spinal canal stenosis and slight impingement of the spinal cord.