Worsening clinical symptoms of C6 bilateral weakness. Please evaluate for cervical myelopathy and compare to old outside MRI's from 2013. There is straightening of the cervical spine with mild retrolisthesis of C3 on C4. The vertebral body heights are preserved. There is loss of disc height at C3-C4 through C6-C7 with endplate degenerative changes. The vertebral bone marrow signal is mildly heterogeneous with increased STIR signal at the anterior inferior aspect of the C6 vertebra, which is unchanged from 2013. The spinal cord displays normal signal characteristics. The paravertebral soft tissues are unremarkable.C2-C3: No significant disc bulge, spinal canal or foraminal stenosis.C3-C4: Disc bulge, uncinate spurs, thickening of the ligamentum flavum and facet arthropathy, contributing to flattening of the ventral cord, severe spinal canal and mild right and moderate left foraminal stenosis, without significant interval change.C4-C5: Posterior disc-osteophyte complex, uncinate spurs, thickening of the ligamentum flavum and facet arthropathy, contributing to flattening of the ventral cord, mild spinal canal and mild bilateral foraminal stenosis, without significant interval change.C5-C6: Posterior disc-osteophyte complex, uncinate spurs, thickening of the ligamentum flavum and facet arthropathy, contributing to flattening of the ventral cord, severe spinal canal and severe bilateral foraminal stenosis, without significant interval change.C6-C7: Posterior disc-osteophyte complex, uncinate spurs, thickening of the ligamentum flavum and facet arthropathy, contributing to mild spinal canal and mild bilateral foraminal stenosis, without significant interval change.C7-T1: Small central disc protrusion and bilateral uncinate spurs, contributing to mils bilateral foraminal stenosis. No significant spinal canal stenosis. T1-T2: Small central disc protrusion with slightly increased left foraminal disc protrusion, contributing to moderate left foraminal stenosis. No significant spinal canal or right foraminal stenosis.
1. Advanced degenerative cervical spondylosis, most prominent at C3-C4 and C5-C6 with severe spinal canal stenosis and flattening of the ventral cord at these levels without definite abnormal spinal cord signal. 2. Slightly increased left foraminal disc protrusion at T1-T2, contributing to moderate left foraminal stenosis. Otherwise, no significant interval change since 9/19/2013.3. Nonspecific increased STIR signal at the anterior inferior aspect of the C6 vertebra is unchanged and likely represents degenerative endplate edema. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.