Female, 55 years old, with spastic legs, worse on the right. Evaluate for lesions that could represent multiple sclerosis. There is a trace retrolisthesis of C5 relative to C6. Otherwise, sagittal alignment is unremarkable. Vertebral body height and morphology are within normal limits.Degenerative endplate signal abnormality is seen at C5-6 and C6-7. A small subchondral cystic focus is also likely present superiorly at C6. No worrisome marrow replacement is identified.The visualized spinal cord shows normal signal intensity and morphology. No focal lesions are seen. No epidural abnormalities are suspected.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: No spinal canal stenosis or neuroforaminal narrowing. C4-5: No spinal canal stenosis or neuroforaminal narrowing. C5-6: Loss of disc height with disc osteophyte formation. Effacement of the ventral thecal sac without significant generalized canal stenosis. Mild bilateral foraminal narrowing. C6-7: Loss of disc height with minimal disc osteophyte formation. No significant spinal canal stenosis. Mild left foraminal narrowing. C7-T1: No spinal canal stenosis or neuroforaminal narrowing.
1.No spinal cord lesions are seen to suggest demyelinating disease or any other specific pathologic process.2.Degenerative disc disease is evident at C5-6 and C6-7 but there is no significant generalized spinal canal stenosis and only mild associated foraminal narrowing.