Male, 87 years old, history of lung cancer with new left scapula pain suspicious for metastasis. Straightening of the cervical lordosis is likely positional. Sagittal alignment is otherwise unremarkable.Vertebral body height and morphology are within normal limits. No pathologic marrow replacement, edema or enhancement is seen.The spinal cord demonstrates normal signal intensity and morphology throughout. No pathologic cord or leptomeningeal enhancement is seen.The paraspinal soft tissues are within normal limits. Please note, however, that the scapulae are not included within the field-of-view of this examination.C2-3: Facet arthropathy. Mild posterior disc-osteophyte complex formation. No significant spinal canal or foraminal stenosis. C3-4: Left greater than right facet arthropathy. Mild posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Severe left and moderate right foraminal narrowing. C4-5: Left facet arthropathy. Posterior disc-osteophyte complex formation. Mild spinal canal narrowing. Moderate bilateral foraminal narrowing. C5-6: Facet arthropathy. Posterior disc-osteophyte complex formation. No significant spinal canal narrowing. Mild bilateral foraminal narrowing. C6-7: Mild posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Severe right and moderate left foraminal narrowing. C7-T1: Facet arthropathy. Minimal posterior disc-osteophyte complex formation. No significant spinal canal or foraminal stenosis.
1.No evidence of any metastatic disease is seen in the cervical spine. Please note that the scapulae are not included within the field-of-view of this examination.2.Multilevel disc degeneration is seen but without any high-grade spinal canal stenosis or cord impingement.3.Scattered variable foraminal narrowing is seen ranging from mild to severe, as discussed above.