Male, 73 years old, with history of prostate cancer and progressive right upper extremity weakness. Mild reversal of the cervical lordosis is seen. Trace retrolisthesis of C5 relative to C6 is evident. Spinal alignment is otherwise unremarkable.Vertebral body heights are preserved. Endplate degeneration with associated signal abnormality is evident from C5 through T1. Mild degenerative endplate edema is seen at C7 and T1. No other concerning marrow edema or marrow replacement is detected.The visualized spinal cord is free of pathologic signal and mildly. Additional details are as follows by level:C2-3: Left greater than right facet hypertrophy. No significant spinal canal or neuroforaminal stenosis. C3-4: Facet hypertrophy. Mild posterior disc-osteophyte complex formation. Minimal generalized spinal canal stenosis. Moderate right and mild left foraminal narrowing. C4-5: Left facet hypertrophy. No significant spinal canal or neuroforaminal stenosis. C5-6: Facet hypertrophy. Spondylolisthesis and posterior disc-osteophyte complex formation. Mild generalized spinal canal stenosis. Severe bilateral foraminal narrowing. C6-7: Posterior disc-osteophyte complex formation with mild to moderate generalized spinal canal stenosis and mild cord flattening. Severe left and mild right foraminal narrowing. C7-T1: Facet hypertrophy. Posterior disc-osteophyte complex formation. Severe bilateral foraminal narrowing. The paraspinal soft tissues are unremarkable. Incidental note is made of a mildly prominent submental lymph nodes.
Multilevel cervical spondylosis is seen, most severely affecting the C5-C6 through C7-T1 levels. No high-grade spinal canal stenosis is suspected.