Female, 72 years old, with right arm pain, paresthesias and weakness. Mild reversal of the cervical lordosis is again seen, unchanged. Grade 1 retrolisthesis of C4 relative to C5, and C5 relative to C6, are also unchanged.Vertebral body morphology is otherwise unremarkable. No concerning marrow signal abnormality is detected.Spinal cord signal intensity and morphology are within normal limits.Mild/moderate facet hypertrophy is evident at every level, unchanged. Scattered perineural root sleeve cysts are seen, not significantly changed. Level specific findings are as follows:C2-3: No spinal canal stenosis or neuroforaminal narrowing. No interval changes.C3-4: Mild posterior disk osteophyte formation. No significant spinal canal stenosis. Moderate right and mild left foraminal narrowing. No interval changes.C4-5: Posterior disk osteophyte formation. No significant spinal canal stenosis. Severe bilateral foraminal narrowing. No interval changes.C5-6: Posterior disk osteophyte formation. No significant spinal canal stenosis. Moderate bilateral foraminal narrowing. No interval changes. C6-7: Posterior disk osteophyte formation. No significant spinal canal stenosis. Mild left neuroforaminal narrowing. No significant interval changes. C7-T1: No spinal canal stenosis or neuroforaminal narrowing. T1-2: As assessed on sagittal images only, disk osteophyte formation is evident but without significant spinal canal compromise. The right neural foramen may be narrowed.
1. No significant change in degenerative disk disease which causes no significant spinal canal stenosis.2. No significant interval change in scattered foraminal narrowing which ranges from mild to severe as above.3. No new findings are seen to account for the patient's symptoms.