Male, 60 years old, with cervical radicular pain. Spinal alignment is anatomic. Vertebral body heights are preserved. No concerning marrow replacement or marrow edema is detected. Degenerative endplate marrow signal abnormality is seen at C6-7.The visualized spinal cord shows normal signal intensity except as discussed below. No convincing areas of cord signal abnormality are detected. No epidural abnormality is noted.Loss of disc height is evident at C5-6 and C6-7. Additional level specific findings are as follows:C2-3: Unremarkable. C3-4: Left facet hypertrophy. No significant spinal canal or foraminal stenosis. No interval changes. C4-5: Left facet hypertrophy. No significant spinal canal stenosis. Mild left foraminal narrowing, mildly progressed. C5-6: Facet hypertrophy. Ligament involving thickening. Posterior disc-osteophyte complex formation. Moderate generalized spinal canal stenosis with mild cord deformation, mildly progressed from prior. Moderate bilateral foraminal narrowing, also progressed. C6-7: Facet hypertrophy. Posterior disc-osteophyte complex formation. Mild generalized spinal canal narrowing with at most minimal cord deformation. Moderate left foraminal narrowing. No interval changes. C7-T1: Left facet hypertrophy. No significant spinal canal stenosis. Mild left foraminal narrowing. No interval changes.
1.Degenerative findings at C5-6 have mildly progressed with a greater degree of generalized spinal canal stenosis and mild deformation of the cord. The neural foramina are also moderately narrowed, more so than on the prior examination.2.Mild degenerative findings at C6-7 with a mild spinal canal stenosis and moderate left foraminal narrowing, without significant interval change.