Male, 42 years old, with numbness and tingling of the hands. Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No pathologic marrow replacement or edema is seen.The visualized spinal cord demonstrates normal signal intensity and morphology. No epidural abnormalities are suspected.C2-3: Mild left facet hypertrophy. Mild left uncovertebral hypertrophy. No spinal canal stenosis. Mild left foraminal narrowing. No interval changes. C3-4: Mild bilateral facet hypertrophy. Mild left uncovertebral hypertrophy. No spinal canal stenosis. Mild left foraminal narrowing. No interval changes. C4-5: Mild facet hypertrophy, slightly progressed. No significant spinal canal stenosis. No significant foraminal narrowing. C5-6: Bilateral facet hypertrophy, slightly progressed. Posterior disc-osteophyte complex formation asymmetric to the left foraminal zone, slightly progressed. No spinal canal stenosis. Severe left foraminal narrowing slightly progressed. C6-7: Left facet hypertrophy, slightly progressed. Minimal posterior disc-osteophyte complex formation, slightly progressed. No significant spinal canal stenosis. Mild bilateral foraminal narrowing, slightly progressed. C7-T1: Facet hypertrophy. Minimal posterior disc-osteophyte complex formation. No significant spinal canal or foraminal stenosis. No interval changes.
Slight interval progression of relatively mild multilevel degenerative disease of the discs and posterior elements. There is no significant spinal canal stenosis and at most levels only mild foraminal narrowing. However, on the left at C5-6, foraminal narrowing is severe.