Question of myelopathy: UMN signs in legs. At C5-6 and C6-7, there are posterior disc-osteophyte complexes that indent the spinal cord with high T2 signal and result in severe bilateral neural foraminal narrowing. At C4-5, there is a small posterior disc-osteophyte complex without significant spinal canal or neural foraminal narrowing. There is no significant degenerative spondylosis at C2 through C5 or C7-T1. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis.
Degenerative spondylosis at C5-6 and C6-7 with indentation of the spinal cord and what may represent edema or myelomalacia, as well as severe bilateral neural foraminal narrowing at these levels.