Female, 62 years old, with spastic quadriparesis. Reversal of the cervical lordosis is seen similar to that noted on the prior examination. Vertebral body heights are preserved. Since the prior examination, there has been progressive partial osseous fusion of at least C5 and C6 if not C7 as well. The intervening disc spaces demonstrate progressive degeneration.The spinal cord shows normal signal intensity throughout. No epidural abnormalities are suspected.C2-3: Progressive facet arthropathy and ligamentum flavum thickening. Progressive disc osteophyte formation and left uncovertebral hypertrophy. Mild generalized spinal canal stenosis. Progressive moderate left foraminal narrowing.C3-4: Progressive facet arthropathy and ligamentum flavum thickening. Progressive posterior disc-osteophyte complex formation with small superimposed central disc extrusion. Progressive moderate generalized spinal canal stenosis. Progressive moderate right foraminal narrowing.C4-5: Facet arthropathy. Posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. No significant interval changes. C5-6: Facet arthropathy on the left. At least partial autofusion of the intervertebral disc with no significant posterior disc-osteophyte complex formation. No spinal canal stenosis. Mild left foraminal narrowing. C6-7: Facet arthropathy on the left and ligamentum flavum thickening slightly progressed. Posterior disc-osteophyte complex formation similar to prior. Mild spinal canal narrowing without significant interval change. Severe left and moderate right foraminal narrowing, unchanged.C7-T1: Facet arthropathy and ligamentum flavum thickening. No significant spinal canal or foraminal stenosis.
1.Progression of disc degeneration at several levels including C3-4 where there is a moderate generalized spinal canal stenosis.2.Interval partial fusion of the C5 and C6 vertebral bodies and potentially also C7 to some degree.3.Severe foraminal narrowing is evident on the left at C6-7 with mild to moderate narrowing elsewhere.