Male, 43 years old, with cervical radiculopathy to the left shoulder. Alignment is anatomic. Vertebral body morphology is within normal limits. No evidence of marrow replacement seen. Mild degenerative marrow edema is evident along the inferior endplate of T4.C2-3: Left facet hypertrophy. No significant spinal canal or neuroforaminal stenosis. C3-4: Facet hypertrophy. Posterior disk osteophyte formation with a superimposed left paracentral extrusion which migrates superiorly. This results in effacement of the left ventral spinal canal and slight impingement of the spinal cord without cord signal abnormality. The left neural foramen is mildly narrowed. The right neural foramen is patent. C4-5: Posterior disk osteophyte complex with a small superimposed central extrusion. This results in effacement of the ventral spinal canal with minimal ventral cord flattening but no cord signal abnormality. The neural foramina are patent. C5-6: Posterior disk osteophyte formation resulting in effacement of the ventral spinal canal and minimal ventral cord flattening. No cord signal abnormality. The right neural foramen is mildly narrowed and the left neural foramen is severely narrowed. C6-7: Posterior disk osteophyte formation resulting in mild central spinal canal effacement but no significant cord impingement. The left neural foramen is mildly narrowed and the right neural foramen is severely narrowed.C7-T1: Unremarkable.
Degenerative disk disease is seen from C3-4 through C6-7 with disk osteophyte formation at all levels.At C3-4, there is a superimposed left paracentral disk extrusion, migrating superiorly, which results in left ventral spinal canal effacement and mild cord impingement.At C4-5 and C5-6, disk osteophyte formation results in mild ventral cord flattening.Significant foraminal narrowing is evident on the left at C5-6 and on the right at C6-7.