Abnormal gait and reflexes Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained aside from mild straightening and minimal retrolisthesis of C3 on C4. Bone marrow signal is within normal limits. There is T2 signal abnormality involving the bilateral cervical cord at the C3-C4 level with volume loss, most consistent with myelomalacia.Moderate degenerative changes are seen throughout the cervical spine as described below:C2-3: Small disc osteophyte complex with bilateral uncovertebral hypertrophy. No significant compromise to the spinal canal. There is mild to moderate left and mild right neural foraminal narrowing.C3-4: Disc osteophyte complex with uncovertebral hypertrophy. There is mild to moderate degree of spinal canal stenosis with cord myelomalacia as mentioned above. There is moderate to severe left and moderate right neural foraminal stenosis. C4-5: Disc osteophyte complex with uncovertebral hypertrophy. There is severe left neural foraminal stenosis and moderate right neural foraminal stenosis. There is mild to moderate degree of spinal canal stenosis.C5-6: Disc osteophyte complex which is predominantly left paracentral and ligamentum flavum thickening. There is moderate degree of spinal canal stenosis, particularly involving the left aspect of the spinal canal. There is also severe left neural foraminal stenosis and mild to moderate right neural foraminal stenosis.C6-7: Small disc osteophyte complex with small right paracentral protrusion. There is no significant spinal canal or right neural foraminal stenosis. There is mild to moderate left greater than right neural foraminal stenosis.C7-T1: Small disc osteophyte complex and uncovertebral hypertrophy. There is no significant spinal canal stenosis. There is moderate bilateral, left greater than right, neural foraminal stenosis.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. There is abnormal cord signal and volume loss at the bilateral C3-C4 level consistent with myelomalacia. There is mild to moderate degree of spinal canal stenosis at this level, and as such this signal abnormality may be related to prior higher degree of spinal canal stenosis, superimposed trauma, or less likely prior ischemic or other injury.2. Moderate degenerative changes throughout the cervical spine. Spinal canal stenosis is worst at the C5-C6 level and moderate in degree. There is also significant multilevel neural foraminal stenoses, worst at the left C3-C4, C4-C5, and C5-C6 levels. Additional details as above.