Male, 58 years old, with left upper extremity radiculopathy and positive Spurling test. The cervical lordosis is straightened. Sagittal alignment is otherwise unremarkable. Vertebral body height and morphology are within normal limits. Marrow signal characteristics are unremarkable.The visualized spinal cord demonstrates normal morphology. Focal prominence of the central canal of the spinal cord is seen at the C7-T1 level, but as this measures no more than 1 mm in diameter, it can be a normal variation.C2-3: Facet hypertrophy. No significant spinal canal or foraminal stenosis. C3-4: Left greater than right facet hypertrophy. Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Moderate bilateral foraminal narrowing. C4-5: Left facet hypertrophy. Posterior disc-osteophyte complex formation with asymmetric right uncovertebral hypertrophy. No significant spinal canal stenosis. Severe right foraminal narrowing. No significant left foraminal narrowing.C5-6: Facet hypertrophy. Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild left foraminal narrowing. C6-7: Posterior disc-osteophyte complex formation with a central focal component which may slightly impinge upon the ventral spinal cord. No significant generalized spinal canal stenosis. Moderate left foraminal narrowing. C7-T1: Facet hypertrophy. Posterior disc-osteophyte complex formation asymmetric to the right paracentral zone. No significant spinal canal stenosis. Mild bilateral foraminal narrowing.
1.Posterior disc-osteophyte complex formation at C6-7 results in slight impingement upon the ventral spinal cord and a moderate left foraminal narrowing.2.Posterior disc-osteophyte complex formation at C4-5 results in a severe right foraminal narrowing.