Male, 64 years old, with left cervical radiculopathy in the C8 distribution. The cervical lordosis is mildly reversed centered at C5-C7. Sagittal alignment is unremarkable.Vertebral body heights are not significantly compromised. There is mild degenerative anterior wedging of C5-C7.Severe loss of disc height and degenerative endplate signal abnormality is noted at C5-6 and C6-7. Elsewhere, marrow signal characteristics are unremarkable.The visualized spinal cord demonstrates normal signal intensity throughout. No epidural abnormalities are suspected.C2-3: Severe right facet hypertrophy. No significant spinal canal or neuroforaminal stenosis. C3-4: Moderate bilateral facet hypertrophy. Minimal posterior disc-osteophyte complex formation. No significant spinal canal or foraminal stenosis. C4-5: Right greater than left moderate facet hypertrophy. Mild posterior disc-osteophyte complex formation with a small central protruding component. No significant spinal canal or foraminal stenosis. C5-6: Moderate bilateral facet hypertrophy. Loss of disc height and disc osteophyte formation. Mild generalized spinal canal narrowing. Mild bilateral foraminal narrowing. C6-7: Moderate facet hypertrophy. Loss of disc height and disc osteophyte formation. Moderate generalized spinal canal narrowing. Moderate to severe bilateral foraminal narrowing. C7-T1: Moderate right greater than left facet hypertrophy. No significant spinal canal or foraminal stenosis.
Degenerative disc disease is seen most conspicuously affecting C5-6 and C6-7. At C5-6, there is a mild spinal canal stenosis and mild bilateral foraminal narrowing. At C6-7, there is a moderate spinal canal stenosis and moderate to severe bilateral foraminal narrowing. Facet arthropathy is noted at all levels.