Male, 69 years old, with weakness. The cervical lordosis is straightened. Trace anterolisthesis of C4 relative to C5 is seen. Alignment is otherwise unremarkable.Severe disc degeneration is seen particularly affecting the C4-5 through C6-7 levels. There is marked associated endplate marrow signal change including mild endplate edema at C5-6. Loss of disc height and degenerative loss of vertebral body height is seen along with bulky anterior osteophytesThere is perhaps minimal ill-defined cord T2 hyperintensity from C2 through C4. No cord expansion is seen. No epidural abnormalities are detected.C2-3: Left greater than right facet arthropathy. Minimal posterior disc-osteophyte complex formation. No spinal canal stenosis. Mild left foraminal narrowing. C3-4: Left facet arthropathy. Ligamentum flavum thickening. Posterior disc-osteophyte complex formation. Moderate spinal canal stenosis with slight flattening of the ventral cord. Severe left and moderate right foraminal narrowing.C4-5: Left greater than right facet arthropathy. Ligamentum flavum thickening. Posterior disc-osteophyte complex formation. Mild spinal canal stenosis with slight flattening of the ventral cord. Moderate bilateral foraminal narrowing.C5-6: Facet arthropathy. Posterior disc-osteophyte complex formation. Moderate spinal canal stenosis with mild flattening of the ventral cord. Severe bilateral foraminal narrowing. C6-7: Facet arthropathy. Ligamentum flavum thickening. Posterior disc-osteophyte complex formation. Moderate spinal canal stenosis with slight flattening of the ventral cord. Severe left and moderate right foraminal narrowing.C7-T1: Facet arthropathy. Ligamentum flavum thickening. Minimal posterior disc-osteophyte complex formation. No spinal canal stenosis. Mild left foraminal narrowing.
Extensive cervical spondylosis is seen causing spinal canal stenosis from C3-4 through C6-7. The spinal cord is mildly indented at these levels and there may be areas of subtle myelomalacia but this is questionable. Scattered foraminal narrowing is also demonstrated most severely affecting C5-6 bilaterally and C6-7 on the left.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.