Myelopathic symptoms. The spinal canal appears to be congenitally narrow throughout. There is superimposed multilevel degenerative spondylosis. At C3-4, there is a posterior disc-osteophyte complex and uncovertebral joint hypertrophy bilaterally, which results in considerable compression of the spinal cord and severe bilateral neural foraminal narrowing. There is perhaps a punctate focus of T2 hypertensity in the spinal cord at this level. At C4-5, there is a posterior disc-osteophyte complex and uncovertebral and facet joint hypertrophy bilaterally, which results in slight compression of the spinal cord and severe bilateral neural foraminal narrowing. At C5-6, there is a small posterior disc-osteophyte complex that nearly abuts the spinal cord. However, uncovertebral and facet joint hypertrophy bilaterally, results in severe bilateral neural foraminal narrowing at this level. At C6-7, there is a small posterior disc-osteophyte complex that nearly abuts the spinal cord. However, uncovertebral and facet joint hypertrophy bilaterally results in severe bilateral neural foraminal narrowing at this level. A C7-T1, there is uncovertebral and facet joint hypertrophy bilaterally that results in mild bilateral neural foraminal narrowing, but no significant spinal canal stenosis. At T1-T2, there is a posterior disc-osteophyte complex that results in severe right and mild left neural foraminal stenosis. At C2-3, there is no significant spinal canal or neural foraminal stenosis. There is irregularity of the superior and inferior endplates of C5 and C6. The other vertebral body heights are intact. Aside from degenerative signal alterations are multiple levels, the vertebral bone marrow appears unremarkable. The paravertebral soft tissues are unremarkable.
Multilevel degenerative spondylosis, with spinal cord compression at C3-4 and C4-5.