Female, 43 years old, with daily neck pain radiating to the left shoulder, not improved with conservative treatment. The normal cervical lordosis is straightened. Sagittal alignment is otherwise unremarkable. Vertebral body height and morphology are within normal limits. No concerning marrow replacement or evidence of marrow edema is seen.The visualized spinal cord demonstrates normal signal characteristics and morphology except as discussed by specific level below. No epidural abnormalities are suspected.The spinal canal is congenitally slender through the cervical region. Additional level specific findings are as follows:C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis. No significant foraminal narrowing. C4-5: Minimal posterior disc-osteophyte complex formation with a right paracentral protrusion which may very slightly indent the ventral spinal cord. No significant generalized spinal canal stenosis. No significant foraminal narrowing. C5-6: Mild posterior disc-osteophyte complex formation no significant spinal canal stenosis. Mild left foraminal narrowing. C6-7: Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis or neuroforaminal narrowing. C7-T1: No spinal canal stenosis or neuroforaminal narrowing.
1.Relatively mild degenerative findings are seen in the cervical spine with no areas of high-grade spinal canal or neuroforaminal stenosis.2.At the C4-5 level, there is a right paracentral disc protrusion which may minimally impinge upon the right ventral aspect of the spinal cord. However, the spinal canal at this level is otherwise well preserved.3.No spinal cord edema or other cord parenchymal abnormalities are detected. No epidural pathology is suspected.