69-year-old female with numbness and tingling with a left C6 radiculopathy. Mild straightening and minimal retrolisthesis of C5 on C6. Alignment is otherwise anatomic. Vertebral body heights are maintained. Minimal end plate degenerative signal changes and multilevel disk desiccation. No cord signal abnormality. Visualized intracranial structures are unremarkable.Individual levels as below:C2-C3: No spinal canal or neuroforaminal stenosis.C3-C4: No spinal canal or neuroforaminal stenosis. C4-C5: No spinal canal or neuroforaminal stenosis.C5-C6: Disk osteophyte complex, uncovertebral hypertrophy, and ligamentum flavum buckling. There is partial effacement of the ventral and dorsal thecal sac. There is moderate to severe right and moderate left neural foraminal stenosis. C6-C7: Disk osteophyte complex, uncovertebral hypertrophy, and ligamentum flavum buckling. There is partial effacement of the ventral and dorsal thecal sac. There is mild to moderate bilateral neuroforaminal stenosis. C7-T1: No spinal canal or neuroforaminal stenosis.
Degenerative changes in the cervical spine particularly at C5-6 and C6-7 without significant spinal canal stenosis. There is moderate to severe right and moderate left neural foraminal stenosis at C5-6 which may be impinging on the C6 nerve roots.