Female, 85 years old, with hyperreflexia and falls. Evaluate for cervical stenosis, myelopathy. Alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of pathologic marrow replacement or edema is seen. The visualized spinal cord is free of focal signal abnormality. No epidural lesions are suspected.C2-3: Posterior disc-osteophyte complex formation. No spinal canal or foraminal stenosis. C3-4: Posterior disc-osteophyte complex formation. No spinal canal or foraminal stenosis. C4-5: Posterior disc-osteophyte complex formation. Ligamentum flavum thickening. Mild spinal canal stenosis. Moderate right and mild left foraminal narrowing. C5-6: Posterior disc-osteophyte complex formation. No spinal canal stenosis. Severe left and moderate right foraminal narrowing. C6-7: Posterior disc-osteophyte complex formation. The spinal canal stenosis. Mild left foraminal narrowing. C7-T1: Posterior disc-osteophyte complex formation. No spinal canal stenosis. Mild left foraminal narrowing due largely to facet arthropathy.
Degenerative disease of the disks and posterior elements is seen throughout the cervical spine. While there are no areas of severe spinal canal stenosis or obvious spinal cord impingement, significant neuroforaminal narrowing is evident on the right at C4-5 and bilaterally at C5-6.