Cervical stenosis, neck pain and upper extremity weakness, leg weakness There is mild straightening of the normal cervical lordosis. The vertebral body heights are well-maintained. Bone marrow signal is within normal limits. There are anterior flowing osteophytes without significant disc space loss at the levels of C4-C5, C5-C6 and C6-C7 suggestive of DISH as seen on recent CT. There are minimal foci of calcification/ossification involving the posterior longitudinal ligaments as seen on CT dorsal to the C5, C6, and C7 vertebral bodies. Degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: Disk osteophyte complex at the central and left central level and ligamentum flavum buckling. There is resulting moderate to severe spinal canal stenosis including flattening of the left greater than right cord. No cord signal abnormality. No significant neural foramina stenosis.C4-5: Disk osteophyte complex at the central and right central level. There is resulting moderate to severe spinal canal stenosis including flattening of the ventral cord greater on the right. Calcification as seen on CT. No cord signal abnormality. There is mild right neural foramina stenosis. No significant left neural foramina stenosis.C5-6: Disk osteophyte complex with effacement of the ventral thecal sac resulting in mild spinal canal stenosis. No cord signal abnormality. There is mild right and minimal left neural foramina stenosis. C6-7: No spinal canal stenosis. There is uncovertebral hypertrophy with mild to moderate right and mild left neural foramina stenosis.C7-T1: No spinal canal stenosis. There is uncovertebral hypertrophy with mild to moderate left (better seen on CT) and mild right neural foramina stenosis. Paraspinous soft tissue structures appear within normal limits.
1. Multilevel degenerative changes in the cervical spine with moderate to severe spinal canal stenosis at C3-4 and C4-5. There is flattening of the cord at these levels without definite cord signal abnormality.2. Minimal foci of calcification/ossification of the posterior longitudinal ligament and associated early findings of DISH as seen on recent CT. 3. Mild neural foraminal narrowing at multiple levels as detailed above.