Male, 39 years old, with cervical radiculopathy, evaluate for stenosis. Alignment is anatomic. Vertebral body heights are preserved. No pathologic marrow replacement or significant marrow edema is detected.The visualized spinal cord demonstrates normal signal intensity throughout. No epidural abnormalities are suspected.C2-3: Mild facet arthropathy. Small central annular fissure. No significant spinal canal or foraminal stenosis. C3-4: Posterior disc-osteophyte complex formation, asymmetric to the right. Slight effacement of the right ventral thecal sac but no significant generalized spinal canal stenosis. Mild right foraminal narrowing. C4-5: Left facet arthropathy. No significant spinal canal stenosis. Mild left foraminal narrowing. C5-6: Facet arthropathy. Posterior disc-osteophyte complex formation asymmetric to the left. Effacement of the left ventral thecal sac and slight flattening of the left ventral cord. Mild right and moderate left foraminal narrowing.C6-7: Facet arthropathy. Broad posterior disc-osteophyte complex formation. Moderate generalized spinal canal stenosis with near complete effacement and slight flattening of the ventral cord. Severe bilateral foraminal narrowing. C7-T1: No significant spinal canal or foraminal stenosis.
1.Multilevel disc degeneration and posterior element hypertrophy.2.The spinal canal is most severely affected at the C6-7 level where a broad disc-osteophyte complex causes moderate generalized spinal canal stenosis.3.The neural foramina are severely narrowed bilaterally at C6-7, with moderate left foraminal narrowing at C5-6.