We consider the Finite Difference discretization of an elliptic second order PDE as $-\sum_{i,j=1}^d {\partial \over \partial x_i} \left(a_{i,j}(x) {\partial \over \partial x_j} u(x)\right)=b(x)$ over a bounded domain and we study the singular value distribution (the eigenvalue distribution in the Hermitian case) in terms of weighted multidimensional Szeg\H o formulas involving the data of the problem (the matrix $A(x)=\left(a_{i,j}(x)\right)$ and the domain) and the used formulas for the derivatives ${\partial \over \partial x_j}$, $j=1,\ldots,d$. Some applications of this theoretic analysis and of the extremal spectral behaviour to the numerical solution of the corresponding PDEs linear systems are briefly discussed.