Male, 75 years old, with neck pain. Slight reversal of the normal cervical lordosis is seen. Trace stepwise retrolistheses are seen of C3 on C4, C4 on C5 and C5 on C6.Bone marrow signal characteristics are heterogeneous which reflects advanced endplate degenerative signal alteration.C2-3: Facet hypertrophy. Ligamentum flavum thickening. Posterior disc-osteophyte complex formation. Mild generalized spinal canal stenosis without significant cord impingement. No significant foraminal narrowing.C3-4: Advanced facet hypertrophy. Posterior disc-osteophyte complex formation. Moderately severe generalized spinal canal stenosis with cord impingement. Minimal central T2 hyperintensity is evident within the cord at the C4 level. Moderate to severe neuroforaminal narrowing. C4-5: Advanced facet hypertrophy. Posterior disc-osteophyte complex formation. Moderately severe generalized spinal canal stenosis with cord impingement. Moderate to severe neuroforaminal narrowing.C5-6: Facet hypertrophy and ligamentum flavum thickening. Posterior disc-osteophyte complex formation. Moderately severe generalized spinal canal stenosis with cord impingement. Moderate to severe neuroforaminal narrowing. C6-7: Advanced facet hypertrophy. Ligamentum flavum thickening. Posterior disc-osteophyte complex formation. Mild generalized spinal canal stenosis with very slight cord impingement. Moderate left and mild right foraminal narrowing. C7-T1: Advanced facet hypertrophy. Ligamentum flavum thickening. Posterior disc-osteophyte complex formation. Moderately severe generalized spinal canal stenosis without significant cord impingement. Moderate left and mild right foraminal narrowing.A heterogeneous T2 hyperintense right thyroid lesion is seen. Sphenoid sinusitis is also demonstrated.
1.Multilevel moderately severe spinal canal stenoses with cord impingement throughout a majority of the cervical spine, due to a combination of disc degeneration and posterior element hypertrophy. Only at the C4 level is there evidence of some abnormal signal within the cord and even this is minimal.2.Scattered foraminal narrowing as above, severe at some levels.3.Incidental right thyroid lesion which can be better assessed with dedicated ultrasound if clinically warranted.