Female, 85 years old, with history of neck pain and cervical stenosis, now with headaches. Spinal alignment is grossly anatomic. Vertebral body heights are preserved. Body marrow signal characteristics suggest fairly diffuse sclerosis of uncertain etiology. No marrow edema is detected.Evidence of prior laminectomy from C3 through C7 is seen with decompression of the spinal canal through that region. Several foci of volume loss and T2 hyperintensity are demonstrated within the spinal cord between C4 and C6, compatible with myelomalacia. Elsewhere, the spinal cord morphology and signal characteristics are within normal limits. No epidural abnormalities are suspected.C2-3: Facet hypertrophy and ligamentum flavum thickening. Posterior disc-osteophyte complex formation. Mild spinal canal stenosis. No significant foraminal narrowing. C3-4: Facet hypertrophy. Posterior disc-osteophyte complex formation. Spinal canal decompression. Mild bilateral foraminal narrowing. C4-5: Facet hypertrophy. Posterior disc-osteophyte complex formation. Spinal canal decompression. Moderate right and mild left foraminal narrowing. C5-6: Facet hypertrophy. Posterior disc-osteophyte complex formation. Spinal canal decompression. Moderate left and mild right foraminal narrowing. C6-7: Facet hypertrophy. Posterior disc-osteophyte complex formation. Spinal canal decompression. Mild left foraminal narrowing. C7-T1: Facet hypertrophy. No significant spinal canal or foraminal stenosis.
1.Sequelae of posterior spinal canal decompression are seen with expansion of the spinal canal from C3 through C7.2.Scattered areas of myelomalacia are seen within the spinal cord from C4 through C6, likely related to prior compressive injury. No areas of suspected acute spinal cord edema are noted.3.Disc degeneration is evident at all levels. There is a mild spinal canal stenosis at C2-3. Elsewhere, the spinal canal is decompressed, but there is variable mild to moderate foraminal narrowing.4.The vertebral bodies appear diffusely sclerotic which is of uncertain significance.