Weakness of all 4 limbs There is moderate degree of spinal canal stenosis at the C4-C5 and C5-C6 levels related to disc osteophyte complexes and ligamentum flavum thickening. There is otherwise no high-grade spinal canal stenosis in the cervical, thoracic, or lumbar spine. There are additional mild degenerative changes including a disc bulge at the L4-5 level with mild bilateral neural foraminal stenosis.There is diffuse low T1 and T2 marrow signal abnormality which is nonspecific but may represent marrow reconversion or related to renal osteodystrophy. The vertebral bodies are appropriate in the overall alignment and height. No gross cord signal abnormality.
1. This is a limited exam specific for the exclusion of cord compression only. There is no evidence of acute cord compression.2. Degenerative changes in the cervical spine with moderate spinal canal stenosis at the C4-C5 and C5-C6 level. 3. Note this examination does not exclude subtle lesions such as intrinsic cord abnormalities and dedicated cervical or thoracic spine studies can be obtained as clinically warranted. 