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Marked central canal stenosis at C5 and C6 secondary to OPLL. There is severe cord compression with high T2 signal from C4/5 to C6. No cord haemorrhage
High T2 signal is also demonstrated within the interspinous ligaments particularly at C4/5, C5/6 and C6/7, with a small amount of abnormal T2 signal also seen in the prevertebral soft tissues. No fractures or convincing disc injury is evident. The anterior longitudinal ligament, ligamentum flavum, and supraspinous ligament/nuchal ligament appear intact.