Female, 59 years old, with bilateral hand and arm weakness. Alignment is anatomic. Vertebral body height and morphology are normal. Marrow signal characteristics are within normal limits. No pathologic marrow enhancement is seen.The visualized spinal cord demonstrates normal signal intensity and morphology except as discussed below. No pathologic intramedullary or leptomeningeal enhancement is seen.C2-3: Unremarkable. C3-4: Unremarkable. C4-5: Mild facet hypertrophy. Otherwise unremarkable. C5-6: Mild facet hypertrophy. Left uncovertebral hypertrophy. Central disk extrusion extending both above and below the level of the disk space. Effacement of the ventral thecal sac with minimal flattening of the ventral cord, but no frank cord compression and no pathologic cord signal. Moderate left foraminal narrowing. C6-7: Mild facet hypertrophy. Mild uncovertebral hypertrophy and disk osteophyte formation. Slight effacement of the ventral thecal sac. No significant spinal canal stenosis. Moderate left foraminal narrowing. C7-T1: Unremarkable.
1.Disk extrusion at C5-6 resulting in mild deformation of the ventral cord but no significant cord compression or evidence of cord edema. The left neural foramen is at least moderately narrowed at this level secondary to facet and uncovertebral hypertrophy.2.Mild disk osteophyte formation at C6-7 without significant spinal canal stenosis. The left neural foramen is at least moderately narrowed at this level secondary to facet and uncovertebral hypertrophy.