Female, 69 years old, with pain and paresthesias. Neck pain radiating to the upper extremities, right more than left. Alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of marrow edema or marrow replacement is seen.The visualized spinal cord demonstrates normal signal intensity and morphology. No epidural abnormalities are suspected.C2-3: No spinal canal stenosis or foraminal narrowing. C3-4: Left facet arthropathy. Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Moderate to severe left foraminal narrowing. C4-5: Mild facet arthropathy. No significant spinal canal or foraminal stenosis. C5-6: Left greater than right facet arthropathy. Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis or foraminal narrowing.C6-7: Left facet arthropathy. No significant spinal canal or foraminal stenosis. C7-T1: No spinal canal stenosis or neuroforaminal narrowing.
Relatively mild degenerative findings are seen with no areas of high-grade spinal canal stenosis. Facet arthropathy and minimal disc osteophyte formation do, however, contribute to a moderate to severe narrowing of the left C3-4 neural foramen.