Male, 51 years old, pain and paresthesias in the arms. Alignment is anatomic. Vertebral body height and morphology are normal. Marrow signal characteristics are within normal limits. There is mild edema within the left C3-4 facet complex and in the right C4-5 facet complex.C2-3: Unremarkable. C3-4: Left facet hypertrophy. Left paracentral disk osteophyte complex with effacement of the left ventral thecal sac and slight flattening of the left aspect of the cord. No convincing cord signal abnormality is seen. Moderate right and severe left foraminal narrowing. C4-5: Mild facet hypertrophy. Mild broad disk osteophyte complex. Minimal narrowing of the spinal canal. Moderate bilateral foraminal narrowing. C5-6: Unremarkable. C6-7: Minimal disk osteophyte complex formation. No spinal canal or foraminal stenosis. C7-T1: Unremarkable.
1. A left paracentral disk osteophyte complex at C3-4 causes effacement of the left ventral thecal sac and slight impingement on the left aspect of the cord.2. At C3-4, there is severe left and moderate right foraminal narrowing. At C4-5, there is moderate bilateral foraminal narrowing.3. Mild edematous facet arthropathy is seen on the left at C3-4 and on the right at C4-5.