Female, 40 years old. Cervical radiculopathy in C6-7 distribution in R arm; new weakness in R tricep, 4/5 strength. The cranial-cervical junction is normal. There is straightening of the normal cervical lordosis. The cervical spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal and caliber of the visualized cord are normal. There is no evidence of cord compression or mass. The paraspinal soft tissues are unremarkable.At C5-6, there is posterior disc osteophyte complex formation, with mild to moderate left neural foraminal narrowing. No significant right neural foraminal narrowing or spinal canal stenosis.At C6-7, there is mild uncovertebral joint hypertrophy, disc height loss and posterior disc osteophyte complex formation with a superimposed right paracentral/proximal foraminal disc protrusion. This results in impingement on the right ventral C7 nerve root. There is associated moderate right and moderate to severe left neural foraminal stenosis as well as mild spinal canal narrowing.At the other cervical levels, there is no significant spinal canal or neural foraminal narrowing.
1.Diffuse degenerative changes at C6-7 with a superimposed disc protrusion resulting in impingement on the right ventral C7 nerve root as well as moderate right and moderate-to-severe left neural foraminal stenosis at this level.2.Mild-to-moderate left neural foraminal narrowing at C5-6.