Female, 53 years old, with left upper extremity radiculopathy. Assess for disc herniation. Straightening of the cervical lordosis is demonstrated, similar to prior. Spinal alignment is otherwise unremarkable.Vertebral body morphology is within normal limits. No pathologic marrow replacement or marrow edema is seen.The visualized spinal cord is free of pathologic signal abnormality. Additional details by level as follows:C2-3: Stable tiny subchondral cyst along the C2 endplate. No significant spinal canal stenosis or neuroforaminal narrowing. C3-4: Interval decrease in size of a previously seen central disc protrusion. Small persistent central annular fissure. No significant foraminal narrowing. C4-5: Left facet hypertrophy. Slight interval progression of posterior disc-osteophyte complex formation asymmetric to the left. Mild effacement of the ventral thecal sac but no significant generalized spinal canal stenosis. Mild left foraminal narrowing, progressed. C5-6: Mild facet hypertrophy. Mild posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Moderate left foraminal narrowing, progressed. Mild right foraminal narrowing, unchanged. C6-7: Posterior disc-osteophyte complex formation with an asymmetric/focal component in the right paracentral zone appearing similar to prior. Mild generalized spinal canal stenosis and slight ventral cord flattening are unchanged. Mild to moderate right neuroforaminal narrowing is unchanged.C7-T1: No spinal canal stenosis or neuroforaminal narrowing. The paraspinal soft tissues are unremarkable. A small Tornwaldt cyst is evident within the nasopharynx.
1.Decrease in the size of the previously seen central disc protrusion at C3-4.2.Slight interval progression of posterior disc-osteophyte complex formation asymmetric to the left at C4-5 with mild progressive left foraminal narrowing.3.Posterior disc-osteophyte complex formation at C6-7 with mild generalized spinal canal stenosis and mild ventral cord flattening, unchanged.