Female, 68 years old, neck pain with radiation into the right arm. Straightening of the cervical lordosis is seen. Vertebral body heights are preserved. Degenerative signal abnormality is noted at multiple levels, particularly C4-5 and C5-6, where findings have progressed. No concerning marrow replacement is seen. The spinal cord shows normal signal and morphology. No epidural lesions are seen. C2-3: Mild facet arthropathy. Minimal disc osteophyte formation. No spinal canal stenosis. No foraminal narrowing. C3-4: Mild facet arthropathy. Mild disc osteophyte formation, progressed. No spinal canal stenosis. Mild bilateral foraminal narrowing.C4-5: Uncovertebral hypertrophy. No spinal canal stenosis. Moderate bilateral foraminal narrowing. No changes. C5-6: Disc osteophyte formation, progressed. Moderate spinal canal stenosis without significant cord deformation, progressed. Severe foraminal narrowing.C6-7: Disc osteophyte formation, progressed. Mild spinal canal stenosis, similar to prior. Moderate foraminal narrowing.C7-T1: Minimal disc degeneration without spinal canal or foraminal compromise. Thoracic levels: Mild disc bulging as assessed on sagittal images, without spinal canal compromise.
Multilevel disc degeneration is seen, progressed at some levels including at C5-6 where there is a moderate spinal canal stenosis. Severe foraminal narrowing is also present at this level.