 Low signal to noise is present secondary to patient positioning in relation to the MRI coil. There is loss of the normal cervical lordosis with a kyphotic angle centered at C5/C6. Vertebral body heights are grossly preserved. There is a trace anterolisthesis of C4 on C5 and grade 1 anterolisthesis of C5 on C6. There is disc dessication throughout the cervical spine with severe degenerative disc disease at C5/C6. Diffuse marrow heterogeneity with increased sclerosis (hypointensity on T1 and T2) is consistent with metastatic disease as seen on previous bone scan, likely demonstrating a treatment response. The cervicomedullary junction is normal. C2/3: No significant canal or neural foraminal stenosis.C3/4: There is right greater than left uncovertebral hypertrophy with mild right neural foraminal stenosis. Minimal posterior disc-osteophyte complex with effacement of the dorsal thecal sac consistent with mild spinal canal stenosis. C4/5: There is trace uncovering of the disc without significant spinal canal stenosis. There is uncovertebral and severe left facet hypertrophy contributing to severe left neural foraminal stenosis as well as mild right neural foraminal stenosis.C5/6: There is uncovering of the disc with a superimposed disc-osteophyte complex which causes mild spinal canal stenosis. There is uncovertebral hypertrophy and minimal bilateral neural foraminal stenosis. C6/7: There is a posterior-disc osteophyte complex causing mild to moderate spinal canal stenosis and uncovertebral hypertrophy causing mild bilateral neural foraminal stenosis. C7/T1: No significant spinal canal or neural foraminal stenosis.
1. Multilevel degenerative changes of the cervical spine most prominent at C4/C5 with severe left neural foraminal stenosis and C5/C6 with grade I anterolisthesis and mild spinal canal stenosis. Additional findings as described above.2. Diffuse bone marrow heterogeneity with sclerosis is consistent with metastatic disease as seen on prior bone scan. 