Female, 52 years old, with history of chronic back pain and SLE, complaining of 3 days bilateral lower extremity weakness, pain, thigh numbness and urinary incontinence. The cervical lordosis is reversed secondary to degenerative disease. A mild thoracolumbar scoliotic curvature is seen along with a grade 1 anterolisthesis of L3 relative to the levels above and below.Vertebral body heights are preserved throughout. No evidence of worrisome marrow replacement is seen. No significant marrow edema is demonstrated apart from scattered degenerative endplate signal change.Disc osteophyte complexes are present at C3-4, C4-5 and C5-6 resulting in mild to moderate spinal canal stenoses at these levels. No significant cord impingement is suspected. Mild disc bulging is also evident in the lumbar spine without significant or high-grade spinal canal stenosis. Mild to moderate foraminal narrowing is evident at L2-3 through L4-5.No significant abnormalities of the spinal cord are suspected. No epidural fluid collections are seen.
1.No evidence of acute cord compression.2.Cervical spondylosis results in mild spinal canal narrowing at mid cervical levels without significant cord impingement.3.Mild degenerative disc disease is also evident in the lumbar region without significant spinal canal stenosis or impingement of the cauda equina.