Female, 63 years old, with radicular symptoms in the C7-C8 distribution of the left upper extremity. Alignment is anatomic. Vertebral body height and morphology are within normal limits. No pathologic marrow replacement or edema is seen. The visualized spinal cord shows normal signal intensity throughout. No epidural abnormalities are suspected.C2-3: Mild left facet hypertrophy. No significant spinal canal or foraminal stenosis. C3-4: Left facet arthropathy. Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild bilateral foraminal narrowing.C4-5: Bilateral facet arthropathy. Posterior disc-osteophyte complex formation. Mild spinal canal stenosis. Moderate to severe bilateral foraminal narrowing. C5-6: Minimal posterior disc-osteophyte complex formation. No spinal canal stenosis. Mild bilateral foraminal narrowing. C6-7: Bilateral facet arthropathy. Minimal posterior disc-osteophyte complex formation. No spinal canal stenosis. No significant foraminal narrowing. C7-T1: Mild bilateral facet arthropathy. No significant spinal canal stenosis. No significant foraminal narrowing
Multilevel degenerative findings are seen which contribute to a mild spinal canal stenosis at C4-5, as well as scattered foraminal narrowing most severely affecting the C4-5 level.