Female, 74 years old, with neck pain. Alignment is anatomic. Vertebral body height and morphology are within normal limits. No pathologic marrow replacement or abnormal marrow enhancement is seen.The right IAC/CP angle schwannoma is partially visualized on sagittal images. The brainstem and visualized spinal cord are otherwise unremarkable. No focal signal abnormality or pathologic intradural enhancement is seen. No epidural abnormalities are suspected.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: Mild right paracentral posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild right foraminal narrowing. C4-5: No spinal canal stenosis or neuroforaminal narrowing. C5-6: Posterior disc-osteophyte complex formation asymmetric to the left. Effacement of the ventral thecal sac and mild flattening of the ventral cord. The left neural foramen is moderately narrowed.C6-7: Minimal posterior disc-osteophyte complex formation. No significant spinal canal or foraminal stenosis. C7-T1: No spinal canal stenosis or neuroforaminal narrowing. Hyperintense signal is seen within the left T3 pedicle and transverse process. This is only visualized on sagittal cuts.
1.Disc osteophyte disease is seen at C5-6 resulting in slight flattening of the ventral cord and a significant stenosis of the left neural foramen at this level.2.The remaining cervical levels are free of significant degenerative disease, spinal canal or foraminal stenosis.3.Signal abnormality is incidentally noted within the left T3 pedicle and transverse process. This may represent an incidental hemangioma though correlation for tenderness in this location is suggested.