Neck stiffness with disc degeneration seen on x-ray, decreased reflexes in the hands, and increased trapezius tone. There is multilevel degenerative cervical spondylosis associated with lack of the usual cervical lordosis. In particular, at C4-5, a posterior disc-osteophyte complex that is eccentric to the right nearly abuts the spinal cord, at C5-6, a posterior disc-osteophyte complex that abuts the spinal cord, and at C6-7, a posterior disc-osteophyte complex that is eccentric to the right indents the spinal cord and adjacent exiting nerve roots. However, the spinal cord displays normal signal. There is no significant spinal canal stenosis at the other cervical spine levels. In addition, there is no significant neural foraminal stenosis in the cervical spine. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no abnormal enhancement in the spine or evidence of mass lesions. The paravertebral soft tissues and imaged intracranial structures are unremarkable.
Multilevel degenerative cervical spondylosis associated with lack of the usual cervical lordosis. In particular, at C4-5, a posterior disc-osteophyte complex that is eccentric to the right nearly abuts the spinal cord, at C5-6, a posterior disc-osteophyte complex that abuts the spinal cord, and at C6-7, a posterior disc-osteophyte complex that is eccentric to the right indents the spinal cord and adjacent exiting nerve roots.