Female, 54 years old, with neck pain. The cervical lordosis is mildly reversed. Sagittal alignment is unremarkable. Vertebral body height and morphology are within normal limits. No worrisome marrow replacement is seen. Mild endplate edema at C6-7 is noted.The visualized spinal cord demonstrates normal signal intensity and morphology except as discussed by level as follows. No epidural abnormalities are suspected.C2-3: Facet hypertrophy. No significant spinal canal or foraminal stenosis. C3-4: Minimal facet hypertrophy. Mild posterior disc-osteophyte complex formation which slightly flattens the ventral cord. No significant spinal canal stenosis. Mild left foraminal narrowing.C4-5: Facet hypertrophy. Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Moderate left foraminal narrowing. C5-6: Mild facet hypertrophy. Posterior disc-osteophyte complex formation asymmetric to the left foraminal region. Slight flattening of the ventral cord but no significant spinal canal stenosis. Severe left and mild right foraminal narrowing. C6-7: Minimal facet hypertrophy. Mild posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Severe bilateral foraminal narrowing. C7-T1: Facet hypertrophy. No significant spinal canal stenosis. Mild bilateral foraminal narrowing with perineural root sleeve cysts bilaterally.
Multilevel disc degeneration and posterior element hypertrophy result in scattered variable foraminal narrowing, most severely affecting C5-6 on the left and C6-7 bilaterally. No significant spinal canal stenosis is seen.