Evaluate for spinal stenosis: pain, fall. There is some degradation of image quality due to patient body habitus. The vertebral column alignment is within normal limits. The vertebral body heights are preserved. There is mild loss of disc height at T10-11. There is desiccation of the discs, with vacuum disc phenomenon at L5-S1. The vertebral bone marrow signal is unremarkable. The spinal cord displays grossly normal signal. The paravertebral soft tissues are unremarkable. At T10-T11, limited images demonstrate a disc bulge and facet hypertrophy resulting in severe central canal and neuroforaminal stenosis. At T11-T12, limited images demonstrate a right disc protrusion and facet hypertrophy resulting in mild left and moderate right foraminal stenosis. At T12-L1, there is facet hypertrophy resulting in mild bilateral neuroforaminal stenosis, but no significant spinal canal stenosis. At L1-L2, there is facet hypertrophy resulting in moderate bilateral neuroforaminal stenosis, but no significant spinal canal stenosis. At L2-L3, there is mild disc bulge and facet hypertrophy resulting in moderate bilateral neuroforaminal stenosis, but no significant spinal canal stenosis. At L3-L4, there is mild disc bulge and facet hypertrophy resulting in mild neuroforaminal stenosis, but no significant spinal canal stenosis. At L4-L5, there is a disc bulge with a superimposed focal central protrusion, as well as facet hypertrophy with effusions resulting in mild spinal canal stenosis and severe left greater and mild to moderate right foraminal stenosis. At L5-S1, there is facet hypertrophy with effusions resulting in moderate to severe neuroforaminal stenosis bilaterally, but no significant spinal canal stenosis.
1.Partially imaged severe spinal canal narrowing with spinal cord impingement and bilateral neuroforaminal stenosis at T10-T11. Further evaluation via dedicated thoracic spine MRI may be useful.2.Multilevel degenerative spondylosis of the lumbar spine with mild spinal canal stenosis at L4-5 and scattered neuroforaminal stenosis, some of which is rather severe.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.