Female, 40 years old, with abnormal CT this morning and decreased strength in the right upper extremity, otherwise healthy female with pain in the right neck and arm for two weeks. Straightening of the cervical lordosis is likely positional. Alignment is otherwise unremarkable. Vertebral body heights are preserved. No pathologic marrow replacement, edema or enhancement is seen. The spinal cord demonstrates normal signal intensity and is free of abnormal enhancement. No epidural abnormalities are suspected.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: Left uncovertebral hypertrophy. No spinal canal stenosis. Mild left foraminal narrowing. C4-5: No spinal canal stenosis or neuroforaminal narrowing. C5-6: Right paracentral disc protrusion which indents the right ventral spinal cord. No generalized spinal canal stenosis. No significant foraminal narrowing. C6-7: No spinal canal stenosis or neuroforaminal narrowing. C7-T1: No spinal canal stenosis or neuroforaminal narrowing.
A right paracentral disc protrusion is evident at C5-6 which impinges on the right ventral spinal cord.