Male, 61 years old, with numbness of the right shoulder when leaning forward. Mild straightening of the cervical lordosis is seen. Sagittal alignment is unremarkable. Vertebral body heights are preserved. No concerning marrow replacement or edema is detected. The visualized spinal cord shows normal signal intensity throughout. No epidural abnormalities are suspected.C2-3: Left greater than right facet arthropathy. No significant spinal canal or foraminal stenosis. C3-4: Bilateral facet arthropathy. Posterior disc-osteophyte complex formation asymmetric to the right. Mild effacement of the ventral thecal sac. Severe right and mild left foraminal narrowing.C4-5: Mild facet arthropathy. Posterior disc-osteophyte complex formation with a right paracentral focal component which minimally impinges the spinal cord. No cord edema is seen. No significant generalized canal stenosis. Severe left foraminal narrowing. C5-6: Right greater than left facet arthropathy. Posterior disc-osteophyte complex formation with a focal central component which mildly impinges the spinal cord. Moderate generalized spinal canal stenosis. Moderate to severe bilateral foraminal narrowing. C6-7: Posterior disc-osteophyte complex formation with a focal component in the left paracentral zone which mildly impinges on the spinal cord. No significant generalized no stenosis. Mild left foraminal narrowing. C7-T1: Unremarkable.
Multilevel disc degeneration is seen in the cervical region. Findings are most pronounced at C5-6 where there is a moderate generalized spinal canal stenosis and a focal impingement of the ventral cord. Less significant cord impingement is also seen at C4-5 and C6-7. Severe foraminal narrowing is evident on the right at C3-4, and on the left at C4-5, with moderate to severe foraminal narrowing bilaterally at C5-6.