Female, 68 years old, with C5 radiculopathy. Trace retrolisthesis of C3 relative to C4 is noted. Alignment is otherwise unremarkable. Vertebral body height and morphology are normal. No concerning marrow replacement or marrow edema is seen. C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: Posterior disc-osteophyte complex formation asymmetric to the left. Moderate generalized spinal canal stenosis with deformation of the spinal cord, most severely affecting the left, but no definite cord signal abnormality. Severe left foraminal narrowing. No significant interval changes. C4-5: Ligamentum flavum thickening. Posterior disc-osteophyte complex formation slightly asymmetric to the left. Moderate to severe spinal canal stenosis with deformation of the cord but no definite cord signal abnormality. Severe left foraminal narrowing. No significant interval changes. C5-6: Ligamentum flavum thickening. Posterior disc-osteophyte complex formation with a superimposed central disc extrusion which has increased in size. Worsened generalized spinal canal stenosis along with cord impingement and perhaps minimal questionable cord T2 hyperintensity. Mild right foraminal narrowing. C6-7: Ligamentum flavum thickening. No significant spinal canal or neuroforaminal stenosis. C7-T1: No spinal canal stenosis or neuroforaminal narrowing.
1.A progressive disc extrusion at C5-6 results in worsening moderate to severe spinal canal stenosis and cord impingement. There is perhaps some minimal questionable cord signal abnormality at this level.2.Stable disc disease and associated spinal canal stenosis at C3-4 and C4-5, both levels showing significant canal stenosis and cord deformation. Severe left-sided foraminal narrowing is also seen at these levels.