Reason: assess for deterioration of cervical spinal stenosis History: neck pain, camptocormia. Cervical spine alignment is within normal limits. Vertebral body heights are maintained. The cervical cord demonstrates normal morphology and signal intensity. There is multilevel degenerative cervical spondylosis with level specific findings as follows:C2-3: No significant central canal or neuroforaminal stenosis. C3-4: Mild disk bulge without significant central stenosis. No significant neuroforaminal stenosis. C4-5: Degenerative disk disease and bilateral uncovertebral hypertrophic changes, without significant central spinal stenosis. There is moderate to severe bilateral neural foraminal narrowing, right greater than left.C5-6: Degenerative disk disease with disk-osteophyte complex resulting in mild central spinal stenosis and moderate bilateral neural foraminal narrowing, right greater than left. C6-7: Mild degenerative disk disease and mild hypertrophic changes of posterior elements without evidence of central spinal stenosis. There is mild left neuroforaminal narrowing. C7-T1: Minimal degenerative disk disease without central canal or neuroforaminal stenosis. The imaged upper thoracic spine and thoracic cord to the T5 level is unremarkable.
Multilevel cervical spondylosis as detailed above without acute interval change compared with prior studies. 