Female, 47 years old, with neck pain and bilateral arm pain associated with numbness. Straightening of the cervical lordosis is seen. Sagittal alignment is otherwise unremarkable. Vertebral body heights are preserved. Mild endplate edema is seen at C3-4, likely degenerative in nature. No pathologic marrow replacement is seen. The visualized spinal cord demonstrates normal signal intensity and morphology. No epidural abnormalities are suspected.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: Posterior disc-osteophyte complex formation. Mild effacement of the ventral thecal sac. No significant spinal canal stenosis. No foraminal narrowing. C4-5: Left uncovertebral hypertrophy. No spinal canal stenosis. Mild left foraminal narrowing.C5-6: Posterior disc-osteophyte complex formation. Mild effacement of the ventral thecal sac and slight flattening of the ventral cord. No spinal canal stenosis. Moderate left and mild right foraminal narrowing. C6-7: No spinal canal stenosis or neuroforaminal narrowing. C7-T1: No spinal canal stenosis or neuroforaminal narrowing.
Disc degeneration is seen most notably at C3-4 and C5-6. However, only mild effacement of ventral thecal sac is noted at these levels. At C3-4, mild foraminal narrowing is evident on the left. At C5-6, moderate left and mild right foraminal narrowing are seen.