Male, 73 years old, with sensory and motor polyneuropathy, two years of progressive gait difficulty, history of prostate cancer. Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits.Marrow signal is heterogeneous with scattered foci of T1 and T2 hyperintensity, likely representing focal fat or benign hemangiomas. No concerning marrow replacement or marrow enhancement is seen. Findings compatible with a developing Schmorl's node are noted at the superior endplate of L3.The visualized distal spinal cord, conus and nerve roots of the cauda equina are unremarkable. No evidence of nerve root thickening or pathologic enhancement is observed.L1-2: No significant spinal canal stenosis or neuroforaminal narrowing. L2-3: Facet hypertrophy and ligamentum flavum thickening. Mild bulging disc. Mild generalized spinal canal narrowing. Mild bilateral foraminal narrowing. L3-4: Facet hypertrophy and ligamentum flavum thickening. Mild bulging disc. Moderate generalized spinal canal narrowing with slight crowding of the cauda equina nerve roots but no evidence of frank nerve root impingement. No significant foraminal narrowing. L4-5: Facet hypertrophy and ligamentum flavum thickening. Mild bulging disc with a small superimposed central protrusion. Mild transverse narrowing of the spinal canal mild right foraminal narrowing. L5-S1: Facet hypertrophy and ligamentum flavum thickening. Mild disc bulging. No significant spinal canal stenosis. Mild right foraminal narrowing.
1.Relatively mild degenerative findings are seen without evidence of any high-grade spinal canal or foraminal stenosis.2.No evidence of significant inflammation of the distal spinal cord or nerve roots is detected.