Female, 61 years old, with neck pain and radiculopathy; with back pain and right lower extremity radiculopathy. Cervical:Alignment is anatomic. Vertebral body height and morphology are within normal limits. No pathologic marrow replacement or edema is seen. The visualized spinal cord shows normal signal intensity throughout. No epidural abnormalities are suspected.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: Left facet arthropathy. Mild uncovertebral hypertrophy. Mild right foraminal narrowing. No spinal canal stenosis. C4-5: Left facet arthropathy. Mild uncovertebral hypertrophy. Moderate left and mild right foraminal narrowing. C5-6: Facet arthropathy. Mild posterior disc-osteophyte complex formation. Mild spinal canal stenosis without significant cord deformation. Moderate to severe bilateral foraminal narrowing. C6-7: Facet arthropathy, left more than right. Posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Moderate left foraminal narrowing. C7-T1: No spinal canal stenosis or neuroforaminal narrowing. Lumbar:Alignment is anatomic. Vertebral body height and morphology are within normal limits. Edema along the anterior inferior endplates of L3 and L4 is likely degenerative in nature. No concerning marrow replacement is demonstrated.The visualized distal spinal cord, conus and nerve roots of the cauda equina are within normal limits. No epidural abnormalities are suspected.L1-2: Small left paracentral disc protrusion. No significant spinal canal or foraminal stenosis. L2-3: Facet arthropathy and ligamentum flavum thickening. Mild disc bulging. No significant spinal canal narrowing. Mild bilateral foraminal narrowing. L3-4: Facet arthropathy and ligamentum flavum thickening. Disc bulging. Mild spinal canal narrowing. Mild bilateral foraminal narrowing. L4-5: Facet arthropathy and ligamentum flavum thickening. Disc bulging with left foraminal annular fissuring. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. L5-S1: Facet arthropathy. Minimal disc bulging. No spinal canal stenosis. Mild right foraminal narrowing.
1.Multilevel degenerative findings are seen in the cervical spine. No high-grade spinal canal stenosis is demonstrated. However, moderate to severe foraminal narrowing is evident bilaterally at C5-6, with scattered mild to moderate foraminal narrowing at additional levels as above.2.Multilevel degenerative findings are also seen in the lumbar spine. No high-grade spinal canal stenosis is demonstrated. Only mild scattered foraminal narrowing is seen.