Reason: degenerative disease; History: neck pain, neuropathy Severe multilevel degenerative changes affect the cervical spine including severe joint space narrowing throughout the cervical spine with relative sparing of C7-T1. There is grade 1 anterolisthesis of C7 on T1. There is severe anterior and posterior vertebral body osteophytosis and multilevel neuroforaminal narrowing, which is better evaluated on recent MRI. There is severe facet joint osteoarthritis. No acute fracture is evident.
Severe multilevel degenerative changes as above.