Ataxia. Rule out cord compression. The vertebral bodies are appropriate in the overall height. There is grade 1 anterolisthesis of L4 on L5. Alignment is otherwise maintained. No large metastatic lesion is appreciated within the limits of the screening study. T1 shortening involving the lumbosacral spine marrow may be related to prior radiation.Mild multilevel degenerative changes are seen in the cervical spine, relatively worse at the C5-C6 level where a disc osteophyte complex and ligamentum flavum thickening are associated with mild to moderate spinal canal stenosis. There is otherwise no high-grade stenosis in the cervical spine or obvious cord signal abnormality. No significant spinal canal stenosis is evident in the thoracic spine. Mild to mild-to-moderate degree of spinal canal stenosis is also evident at the L3-L4 and L4-L5 levels. Otherwise no high-grade stenosis. There is up to moderate degree of neural foraminal stenosis at the L4-L5 level.
This is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities. No cord compression is identified.Due to the screening nature of this protocol, details are not as evident on imaging as dedicated protocols of the spine. Degenerate changes in the cervical and lumbar spine can be better assessed with dedicated cervical and lumbar spine imaging as clinically indicated.