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Sclerosis of the pedicles at multiple levels. At C6, there are well corticated linear lucency running through the pedicles, consistent with spondylolysis.
There is advanced degenerative changes involving the atlantoaxial
articulation and multilevel degenerative disc disease most severe at C5-6
and C6-7. At C5-6 a posterior disc-osteophyte complex causes moderate
narrowing of the spinal canal. Severe multilevel facet joint arthropathy
together with uncovertebral joint osteophytes cause moderate to severe
narrowing of the neuroforamina bilaterally at all cervical levels.