Female, 57 years old, bilateral lower extremity neuropathy. History of spinal stenosis and DJD. Cervical:The cervical adenosis is exaggerated. Vertebral body alignment is otherwise unremarkable. No evidence of worrisome marrow replacement or marrow edema is seen.The visualized spinal cord demonstrates normal signal intensity and morphology.C2-3: Unremarkable. C3-4: Mild posterior disc osteophyte formation. No significant spinal canal stenosis or neuroforaminal narrowing. C4-5: Mild posterior disc osteophyte formation. No significant spinal canal stenosis or neuroforaminal narrowing. C5-6: Posterior disc osteophyte formation resulting in a mild narrowing of the spinal canal and at least moderate bilateral foraminal narrowing. C6-7: Facet hypertrophy. Mild posterior disc osteophyte formation. No significant spinal canal stenosis or neuroforaminal narrowing. C7-T1: Unremarkable. Thoracic:The thoracic kyphosis is mildly exaggerated. Alignment is unremarkable. Vertebral body height and morphology are normal. No concerning marrow replacement or evidence of marrow edema is seen.The visualized spinal cord demonstrates normal signal intensity and morphology throughout.Small disc protrusions are evident at T1-2, T2-3 and T7-8. These result in no significant spinal canal or neuroforaminal stenosis.Lumbar:The lumbar lordosis is straightened and there is a mild scoliotic curvature to the lower lumbar spine. Vertebral body heights are preserved. Marrow signal characteristics are diffusely heterogeneous but benign in appearance. No evidence of significant marrow edema is seen.The visualized conus is unremarkable. Details of the cauda equina will be discussed below.Loss of disc height is evident from L2-3 through L4-5. Additional level specific findings are as follows:L1-2: Unremarkable. L2-3: Facet hypertrophy and ligamentum flavum thickening. Moderate bulging disk. Moderate spinal canal narrowing with slight crowding of the cauda equina nerve roots. Mild bilateral foraminal narrowing. L3-4: Postoperative findings perhaps representing prior laminectomy. Facet hypertrophy. Mild bulging disk. Mild generalized spinal canal stenosis. Mild to moderate bilateral foraminal narrowing. L4-5: Facet hypertrophy, worse on the left. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. L5-S1: Facet hypertrophy and ligamentum flavum thickening with perhaps a small ligamentum cyst on the left. Mild bulging disk. Mild generalized spinal canal narrowing. Moderate bilateral foraminal narrowing. Atherosclerotic irregularity and some ectasia of the distal aorta is seen.
1.Relatively mild degenerative findings in the cervical and thoracic spine with no areas of significant spinal canal or neuroforaminal stenosis.2.More significant degenerative disease in the lumbar spine with scattered mild-to-moderate spinal canal stenosis, most severely affecting L2-3, and mild to moderate foraminal narrowing.