Female, 30 years old, with neck spasm and left shoulder weakness. The normal cervical lordosis is slightly reversed which is likely positional. Sagittal alignment is otherwise unremarkable. Vertebral body height and morphology are within normal limits. No concerning areas of marrow replacement, edema or pathologic marrow enhancement are observed.The visualized spinal cord demonstrates normal signal intensity and morphology throughout. No focal lesions are seen. No pathologic parenchymal or leptomeningeal enhancement is observed. No epidural abnormalities are suspected.C2-3: Left facet arthropathy. No significant spinal canal or foraminal stenosis. C3-4: No significant spinal canal or foraminal stenosis. C4-5: Left uncovertebral hypertrophy with moderate left foraminal narrowing. No significant spinal canal stenosis. C5-6: Posterior disc-osteophyte complex formation with a small focal component centrally. No significant spinal canal stenosis or cord impingement. No significant foraminal narrowing. C6-7: No significant spinal canal stenosis or foraminal narrowing. C7-T1: No significant spinal canal stenosis or foraminal narrowing.
Relatively mild degenerative findings are seen at several levels as discussed above. Most notably, there is a moderate stenosis of the left neural foramen at C4-5. Otherwise, no high-grade spinal canal or foraminal stenosis is seen. No enhancing lesions are identified.