Female, 52 years old, with bilateral arm weakness and pain. With lumbosacral spondylosis and myelopathy. Cervical:Straightening of the cervical lordosis is seen. Vertebral body heights are preserved. Mild scattered degenerative endplate signal alteration is evident. No worrisome marrow signal abnormality or evidence of marrow edema is seen.The visualized spinal cord demonstrates normal caliber, morphology and signal characteristics. No epidural collections are seen.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: No spinal canal stenosis or neuroforaminal narrowing. C4-5: Mild posterior disc-osteophyte complex formation. No significant spinal canal or foraminal stenosis.C5-6: Mild posterior disc-osteophyte complex formation. No significant spinal canal or foraminal stenosis. C6-7: Mild posterior disc-osteophyte complex formation. No significant spinal canal or foraminal stenosis. C7-T1: No spinal canal stenosis or neuroforaminal narrowing. Incidental noted is made of a cystic space in the left insula/basal ganglia. A partially empty sella is also demonstrated.Lumbar:Spinal alignment is anatomic. Vertebral body heights are preserved. No concerning marrow signal abnormality is detected.Visualized spinal cord, conus and cauda equina are within normal limits. No epidural collections are suspected.T11-12: Mild endplate degenerative signal abnormality. No spinal canal or foraminal stenosis.T12-L1: Unremarkable.L1-2: Unremarkable. L2-3: Unremarkable. L3-4: Facet hypertrophy. Minimal disc bulging. No significant spinal canal or foraminal stenosis. L4-5: Facet hypertrophy with a small effusion on the right. Ligamentum flavum thickening. Disc bulging. Mild spinal canal narrowing without nerve root crowding. Mild bilateral foraminal narrowing. L5-S1: Facet hypertrophy. Small right foraminal disc protrusion. No significant spinal canal or foraminal stenosis.
1.Mild degenerative disc findings in the cervical spine without significant canal stenosis or foraminal narrowing.2.Mild degenerative findings in the lower lumbar spine. This results in a mild generalized spinal canal stenosis and mild bilateral foraminal narrowing at L4-5.