Clinical question: Evaluate for cervical spine and lumbar spine pathology. Signs and symptoms: Neck pain. LBP and numbness Nonenhanced lumbar MRI:There is normal anatomical alignment of the vertebral column.The signal intensity of vertebral column demonstrate subtle changes secondary to degenerative disease and unremarkable otherwise.T10-T11 is unremarkable.T11-T12 demonstrate mild disc disease and with small anteriorly projecting hypertrophic spur. No spinal stenosis or neural foraminal compromise.T12-L1 demonstrate mild disc desiccation and is unremarkable otherwise.L1-L2 demonstrate mild disc desiccation and unremarkable otherwise.L2-L3 demonstrate mild degenerative changes and unremarkable otherwise.L3-L4 demonstrate mild degenerative disease and unremarkable otherwiseL4-L5 demonstrate mild facet and ligamentum flavum hypertrophy (left greater than right) and unremarkable otherwise.L5-S1 demonstrate mild disc desiccation and mild bilateral facet and ligamentum flavum hypertrophy. Subtle left facet effusion is detected. There is a shallow left lateral and far lateral disc protrusion (axial T2 series 6 image 22 and sagittal T2 series 3 images 6 through 8). Finding results in moderate left neural foraminal and mild left lateral recess compromise without central spinal stenosis. There is no detectable abnormality of the paraspinal soft tissues.Nonenhanced cervical MRI:The signal intensity of vertebral column is unremarkable.The anatomical alignment of the vertebral column is preserved however there is straightening of cervical lordosis which could be secondary to positioning or pain.The signal intensity and caliber of cervical and upper most visualized thoracic cord is unremarkable.C2-C3 is unremarkable.C3-C4 is unremarkable.C4-C5 demonstrates mild disc desiccation and unremarkable otherwise.C5-C6 demonstrate mild disc disease, small anteriorly projecting hypertrophic spur and no significant facet or ligamentum flavum hypertrophy. No spinal stenosis or neural foraminal compromise.C6-C7 demonstrate mild disc desiccation and unremarkable otherwise.C7-T1 is unremarkable.Upper most visualized thoracic spine and thoracic cord demonstrate no significant degenerative disease and no spinal stenosis or neural foraminal compromise.
1.MRI of the lumbar spine demonstrate mild degenerative disc disease and hypertrophic changes of facets and ligamentum flavum posteriorly as detailed her level above. There is no spinal stenosis at any level. There is a left lateral and far lateral L5-S1 shallow disc protrusion with resultant moderate left neural foraminal and mild left lateral recess compromise.2.MRI of cervical spine demonstrate mild degenerative disease without spinal stenosis or neural foraminal compromise. Normal signal intensity and caliber of cervical and upper most visualized thoracic cord.