53-year-old female with cervicalgia and radiculopathy The cranial-cervical junction is normal. Redemonstrated is reversal of the cervical lordosis. The cervical spine alignment is anatomic. The vertebral body heights are preserved. The bone marrow and end plates demonstrate a benign MR appearance. The signal of the visualized cord is normal. The paraspinal soft tissues are unremarkable.C2-C3: No neuroforaminal narrowing or spinal stenosis, unchanged. C3-C4: Mild disc bulge without neuroforaminal narrowing or spinal stenosis, unchanged. C4-C5: Left paracentral disc protrusion causing anterior left hemicord flattening without intrinsic cord signal abnormality. There is mild left neuroforaminal narrowing however no spinal stenosis. These findings are unchanged.C5-C6: A previously demonstrated central disc protrusion with partial effacement of the ventral thecal sac has progressed and is larger in the right paracentral location and has a new central extruded component extending inferiorly. There is new anterior cord flattening without intrinsic cord signal abnormality as well as new effacement of the CSF both anteriorly and posteriorly. There is no central stenosis, unchanged mild left neural foraminal stenosis, and worse proximal moderate right neural foraminal stenosis.C6-C7: No neuroforaminal narrowing or spinal stenosis, unchanged. C7-T1: No neuroforaminal narrowing or spinal stenosis, unchanged.Facet hypertrophy at T1/2 and T3/4 encroach bilateral neural foramina, unchanged.
1.C4-C5: Left paracentral disc protrusion causing anterior left hemicord flattening without intrinsic cord signal abnormality. There is mild left neuroforaminal narrowing however no spinal stenosis. These findings are unchanged.2.C5-C6: A previously demonstrated central disc protrusion with partial effacement of the ventral thecal sac has progressed and is larger in the right paracentral location and has a new central extruded component extending inferiorly. There is new anterior cord flattening without intrinsic cord signal abnormality as well as new effacement of the CSF both anteriorly and posteriorly. There is no central stenosis, unchanged mild left neural foraminal stenosis, and worse proximal moderate right neural foraminal stenosis.3.Facet hypertrophy at T1/2 and T3/4 encroach bilateral neural foramina, unchanged.