Female, 54 years old, with left cervical radiculopathy. Spinal alignment is anatomic. Vertebral body heights are preserved. Mild degenerative endplate signal change is seen at C6-7. No areas of pathologic marrow replacement or marrow edema are detected.The visualized spinal cord is normal signal characteristics throughout. No epidural abnormalities are suspected.The spinal canal is congenitally slender. Additional level specific findings are as follows:C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: Mild posterior disc-osteophyte complex formation. Mild spinal canal stenosis with slight deformation of the cord. No evidence of cord edema. Mild left foraminal narrowing. C4-5: Facet arthropathy. No significant spinal canal stenosis. Mild to moderate bilateral foraminal narrowing. C5-6: Left facet arthropathy. Posterior disc-osteophyte complex formation with a small left paracentral protrusion. Mild generalized spinal canal stenosis with slight deformation of the left ventral cord. No cord edema. Severe left and mild right foraminal narrowing. C6-7: Posterior disc-osteophyte complex formation asymmetric to the left. Mild to moderate spinal canal narrowing. Moderate left and mild right foraminal narrowing. C7-T1: No spinal canal stenosis or neuroforaminal narrowing.
1.Multilevel disc degeneration is seen which, superimposed upon a congenitally slender spinal canal, does result in spinal canal stenosis at C3-4, C5-6 and C6-7.2.Severe foraminal narrowing is seen on the left at C5-6 with moderate foraminal narrowing on the left at C6-7.