Male, 54 years old, with left upper extremity and left lower extremity pain. Cervical:Alignment is anatomic. Vertebral body heights are preserved. Marrow signal characteristics are within normal limits.Visualized spinal cord shows normal signal characteristics and morphology. No epidural abnormalities are suspected.C2-3: Left facet hypertrophy. No significant spinal canal or foraminal stenosis. C3-4: No spinal canal stenosis or neuroforaminal narrowing. C4-5: No spinal canal stenosis or neuroforaminal narrowing. C5-6: Left facet hypertrophy. Right paracentral and foraminal disc osteophyte formation, similar to prior. Effacement of the ventral thecal sac with mild spinal canal narrowing. Severe right and moderate left foraminal narrowing, not significant changed.C6-7: Left facet hypertrophy. Right uncovertebral hypertrophy. No significant spinal canal stenosis. Moderate to severe bilateral foraminal narrowing. No significant interval changes.C7-T1: Mild facet hypertrophy. No significant spinal canal or foraminal stenosis. Thoracic:The thoracic kyphosis is mildly exaggerated. Spinal alignment is unremarkable. Vertebral body height and morphology are within normal limits. No concerning marrow replacement or edema is seen.Visualized spinal cord demonstrates normal signal intensity and morphology throughout. No epidural abnormalities are suspected.Facet hypertrophy and ligamentum flavum thickening is seen particularly on the right at T10-11. No significant disc bulging or disc herniation is seen. No spinal canal or foraminal stenosis is detected.Lumbar:There is a mild dextrocurvature to the lumbar spine. Sagittal alignment is unremarkable. Vertebral body morphology and signal characteristics are within normal limits.The visualized distal spinal cord, conus and cauda equina are within normal limits. No epidural abnormalities are seen.L1-2: Mild loss of disc T2 signal. No spinal canal or foraminal stenosis. L2-3: No significant spinal canal stenosis or neuroforaminal narrowing. L3-4: No significant spinal canal stenosis or neuroforaminal narrowing. L4-5: Facet hypertrophy and ligamentum flavum thickening. Loss of disc T2 signal and height with mild disc bulging and a left foraminal annular fissure. No significant generalized spinal canal stenosis. Moderate right and mild left foraminal narrowing. L5-S1: Facet hypertrophy and ligamentum flavum thickening. Loss of disc T2 signal, mild disc bulging and a left paracentral annular fissure. No significant spinal canal stenosis. Mild bilateral foraminal narrowing.
1.In the cervical spine, degenerative disease is most notable at C5-6 where there is a mild spinal canal stenosis, severe right and moderate left foraminal narrowing; and at C6-7 where there is moderate to severe bilateral foraminal narrowing.2.No significant spinal canal stenosis or foraminal narrowing is seen in the thoracic spine.3.In the lumbar region, disc degeneration and posterior element hypertrophy is most notable at L4-5 where there is moderate right foraminal narrowing.