Male, 51 years old. Neck pain, hyper-reflexia. The cervical spine alignment is anatomic. The vertebral body height is preserved. There are degenerative endplate marrow signal changes. There is no evidence of abnormal enhancement or mass. The paraspinal soft tissues are unremarkable.Degenerative changes are specified by the intervertebral level as follows: C2-C3: There is a right foraminal/far lateral disc bulge, with mild to moderate right neural foraminal narrowing, and no significant central canal stenosis.C3-C4: There is uncovertebral and facet joint hypertrophy and diffuse disc bulge, with moderate left and marked right neural foraminal narrowing and moderate to severe spinal canal stenosis. There is impingement on the cord anteriorly and associated high T2 signal within the spinal cord and slight cord narrowing at this level.C4-C5: There is uncovertebral and facet joint hypertrophy and diffuse disc bulge, with marked bilateral neural foraminal narrowing and severe spinal canal stenosis. There is impingement on the cord anteriorly and posteriorly with associated high T2 signal within the spinal cord at this level.C5-C6: There is uncovertebral and facet joint hypertrophy and diffuse disc bulge, with more focal right-sided prominence. There is moderate left and marked right neural foraminal narrowing and severe spinal canal stenosis. There is impingement on the cord anteriorly and posteriorly with associated high T2 signal within the spinal cord at this level.C6-C7: There is uncovertebral and facet joint hypertrophy and diffuse disc bulge, more prominent of the left. Marked left and moderate right neural foraminal narrowing, and mild to moderate spinal canal narrowing.C7-T1: There is no significant neuroforaminal narrowing or spinal stenosis.
Extensive degenerative changes throughout the cervical spine, with spinal canal stenosis, most pronounced at the C3-4 through C5-6 levels, with associated myelomalacia at these levels. Marked bilateral neural foraminal narrowing at multiple cervical levels.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.