Reason: Patient w/ prostate CA here w/ diffuse weakness, please eval for cervical spinal stenosis/ cord compression Alignment is anatomic. There is edema centered on the L3-4 and L4-5, likely related to disc degeneration. Vertebral body heights are maintained. The conus is normal in signal and morphology and terminates at an appropriate level. No epidural hematoma or mass. The visualized intra-abdominal and paraspinal contents are unremarkable.T12/L1: There is a compression deformity of T12 without significant spinal canal stenosis or foraminal narrowing. T12 superior endplate Schmorl's node is noted.L1/2: Mild bulging disc. No significant spinal canal stenosis or foraminal narrowing. L2/3: Mild bulging disc and facet arthropathy. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. L3/4: Moderate disc bulge is seen centered on the right, with superimposed foraminal protrusion. There is facet arthropathy and ligamentum flavum thickening. Spinal canal is narrowed mostly affecting the right lateral recess. Severe right foraminal narrowing. No significant left foraminal narrowing.L4/5: There is facet arthropathy, ligamentum flavum thickening, and diffuse disc bulge. There is moderate circumferential spinal canal narrowing. Mild right foraminal narrowing. Severe left foraminal narrowing. L5/S1: Mild ligamentum flavum thickening and facet arthropathy. No significant spinal stenosis or foraminal narrowing.
Multilevel degenerative changes of the lumbar spine most severe at L3-4 and L4-5 levels. No definite spinal metastasis.