Female, 56 years old, with severe right thumb, hand and forearm pain in the C6-7 dermatome. Patient has known cervical radiculopathy there but last MRI was in 2012. Slight straightening of the cervical lordosis is seen. Spinal alignment is otherwise unremarkable. Vertebral body height and morphology are within normal limits. No evidence of marrow replacement or edema is seen. The visualized spinal cord is normal in signal intensity and morphology. No epidural abnormalities are suspected.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: No spinal canal stenosis or neuroforaminal narrowing. C4-5: Minimal posterior disc-osteophyte complex formation. No spinal canal stenosis or neuroforaminal narrowing. No interval changes.C5-6: Mild posterior disc-osteophyte complex formation and right uncovertebral hypertrophy. No significant spinal canal stenosis. Moderate right and mild left foraminal narrowing. No interval changes.C6-7: Mild posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. No interval changes.C7-T1: No spinal canal stenosis or neuroforaminal narrowing.
Cervical spondylosis is redemonstrated at C5-6 and C6-7 without significant interval change. This causes moderate foraminal narrowing on the right at C5-6, but there is no significant spinal canal compromise. No new abnormalities are seen.