Female, 59 years old, with neuropathy and right arm weakness and pain. The cervical lordosis is straightened. Spinal alignment is otherwise unremarkable. Vertebral body heights are preserved. Marrow signal characteristics are slightly heterogeneous but there is no worrisome marrow replacement or marrow edema. The spinal cord demonstrates normal signal intensity and morphology except as discussed below.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: Minimal posterior disc-osteophyte complex formation. No significant spinal canal or foraminal stenosis. C4-5: Minimal posterior disc-osteophyte complex formation. No significant spinal canal or foraminal stenosis. C5-6: Posterior disc-osteophyte complex formation asymmetric to the right paracentral and right foraminal regions. There is slight flattening of the ventral cord but no evidence of cord signal abnormality. A mild to moderate generalized spinal canal stenosis is seen. The right neural foramen is moderately narrowed and the left is mildly narrowed. C6-7: Mild posterior disc-osteophyte complex formation. No significant spinal canal or foraminal stenosis. C7-T1: No spinal canal stenosis or neuroforaminal narrowing.
Multilevel cervical spondylosis is seen most severely affecting C5-6 where there is a disc osteophyte complex asymmetric to the right paracentral and foraminal regions. This results in slight flattening of the ventral cord and a mild to moderate generalized spinal canal stenosis. The right neural foramen is also moderately narrowed at this level.