Male, 68 years old, with cervical radiculopathy. The cervical lordosis is reversed. In addition, there is a grade 1 anterolisthesis of C4 relative to C5.The vertebral body heights are preserved. A 13 mm T1/T2 hypointense region within the left lateral aspect of the C7 vertebral body correlates to lucency on prior radiographs suggesting a vertebral pneumatocyst. A subcentimeter T2 bright cyst is also seen within the right C2 inferior articulating facet. No other areas of concerning marrow replacement or edema are seen.The visualized spinal cord demonstrates normal signal intensity throughout. No epidural abnormalities are suspected.C2-3: Facet arthropathy and ligamentum flavum thickening. Posterior disc-osteophyte complex formation asymmetric to the right foraminal zone. No significant generalized spinal canal stenosis. Moderate right foraminal narrowing. C3-4: Facet arthropathy, right more than left. Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Moderate right and mild left foraminal narrowing. C4-5: Facet arthropathy. Posterior disc-osteophyte complex formation with a small superiorly directed central extrusion. No significant spinal canal stenosis. Moderate bilateral foraminal narrowing.C5-6: Posterior disc-osteophyte complex formation asymmetric to the left foraminal zone. Mild generalized spinal canal stenosis. Moderate left and mild right foraminal narrowing. C6-7: Posterior disc-osteophyte complex formation. Mild spinal canal narrowing. Severe left and moderate right foraminal narrowing. C7-T1: Posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Moderate to severe bilateral foraminal narrowing.
1.Multilevel disc osteophyte formation is seen resulting in mild generalized spinal canal stenosis at C5-6 and C6-7.2.Scattered foraminal narrowing is demonstrated with C7-T1 the most severely affected level.3.Findings compatible with a vertebral pneumatocyst at C7, likely degenerative in etiology.