Female, 53 years old, with worsening neck pain and history of cervical disc herniation seen in 2009. The cervical lordosis is straightened. Vertebral body heights are preserved. No evidence of pathologic marrow replacement or edema is seen. Signal alteration compatible with the presence of a hemangioma is seen within the T1 vertebral body and right pedicle, unchanged.The visualized spinal cord demonstrates normal signal intensity and morphology. No epidural lesions are suspected.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: No spinal canal stenosis or neuroforaminal narrowing. C4-5: No spinal canal stenosis or neuroforaminal narrowing. C5-6: Loss of disc height with posterior disc-osteophyte complex formation slightly improved from prior. Minimal flattening of the ventral cord. No significant spinal canal stenosis. No foraminal narrowing. C6-7: Posterior disc-osteophyte complex formation with a small superimposed left paracentral protrusion, slightly increased in size from prior. However, there is no clear impingement of the spinal cord and no significant canal stenosis. The neural foramina are patent. C7-T1: No spinal canal stenosis or neuroforaminal narrowing.
1.Minimal increase in size of a left paracentral protrusion at C6-7. However, there is no evidence of spinal cord impingement or significant canal stenosis at this level.2.Improvement in the size of a disc osteophyte at the C5-6 level, again without significant spinal canal stenosis.3.The neural foramina are patent throughout.4.No other significant interval changes are seen to account for the patient's worsening pain.