 Cervical spine:There is grade 1 anterolisthesis of C4 on C5 and reversal of cervical lordosis. Additionally, there is minimal retrolisthesis of C5 on C6 and minimal anterolisthesis of C7 on T1. Alignment is otherwise maintained. Vertebral body heights and intervertebral disc spaces are preserved. The cord signal is within normal limits. The marrow signal is normal. Prominent facet arthropathy is noted on the left extending from C3 level to T1 level, as well as the right C7-T1 level.C2-C3: No significant spinal canal or neural foraminal stenosis.C3-C4: There is no significant spinal canal stenosis. Moderate left-sided facet arthropathy results in moderate left neural foraminal stenosis. The right neural foramen is patent.C4-C5: There is predominantly left sided facet joint arthropathy and uncovertebral hypertrophy, resulting in mild to moderate left foraminal stenosis with patent right neural foramen. Small disc osteophyte complex results in mild central canal stenosis.C5-C6: Disc osteophyte complex results in moderate spinal canal stenosis. There is bilateral, right greater than left, neural foraminal narrowing.C6-C7: There is mild to moderate spinal canal stenosis and mild bilateral foraminal stenoses due to uncovertebral hypertrophy.C7-T1: Mild spinal canal stenosis is identified. There is mild to moderate right and mild left neural foraminal stenoses.Lumbar spine:For the purposes of numbering, there are 5 lumbar type vertebral bodies. There is loss of normal lumbar lordosis and mild dextroscoliosis of the lower lumbar spine. Vertebral body heights are preserved. There is severe loss of intervertebral disc space at the L3-L4 and to a lesser degree at L2-L3 and L4-L5 levels. Postsurgical changes of laminectomy are noted at the L3-L4 and L4-L5 levels. There are no fractures. The marrow signal is benign. The conus is normal in signal and morphology and terminates at L1-L2. No cord signal abnormalities identified. The visualized intra-abdominal and paraspinal contents are unremarkable.T12/L1: No significant spinal canal or neural foraminal stenosis.L1/2: There is bilateral facet joint arthropathy, with no significant spinal canal or neural foraminal stenoses.L2/3: Disc bulge eccentric to the left with bilateral facet joint arthropathy results in effacement of the left lateral recess, mild left neural foraminal narrowing, and mild central canal stenosis.L3/4: Small disc osteophyte complex and facet joint arthropathy results in effacement of the left lateral recess and mild to moderate left neural foraminal narrowing. There is minimal right neural foraminal narrowing. The spinal canal is surgically decompressed.L4/5: Spinal canal is surgically decompressed. Small disc bulge with endplate osteophyte results in partial effacement of the lateral recesses. There is severe right foraminal stenosis and moderate to severe left neural foraminal stenosis.L5/S1:Facet joint arthropathy results in moderate to severe right and mild-to-moderate left neural foraminal stenoses. No spinal canal stenosis identified.
1.Multilevel degenerative changes in the cervical spine, with up to moderate spinal canal stenosis at the C5-C6 level and multilevel neural foraminal stenoses as detailed above. No cord signal abnormality identified.2.Multilevel degenerative changes in the lumbar spine, minimally progressed as compared to prior study of 3/17/2012, with no significant spinal canal stenosis. Multilevel neural foraminal stenoses are identified in the lumbar spine, worse at L4-L5 and L5-S1 levels, as detailed above.