Patchy spontaneous activity and lumbar myotomes muscle weakness. Malaise and fatigue. Cervical: Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is minimal retrolisthesis of C3 on C4 on C5, and C5 on C6. Alignment is otherwise maintained. Alignment is maintained. There is diffuse low T1 marrow signal which is nonspecific and can be seen in conditions such as chronic anemia. T1 and T2 hyperintense lesion at C7 is compatible with hemangioma. 6The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancement.Degenerative changes are seen in the cervical spine with disc osteophyte complexes at C3-C4, C4-C5, and C5-C6 and mild multilevel facet arthropathy. Individual levels as below: C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: Small disc osteophyte complex with uncovertebral hypertrophy and facet hypertrophy on the right. There is no significant spinal canal stenosis. There is moderate to severe right neural foraminal stenosis. No significant left neural foraminal stenosis. C4-5: Small disc osteophyte complex with uncovertebral hypertrophy and facet hypertrophy on the right. There is mild spinal canal stenosis with effacement of the ventral thecal sac. There is moderate to severe right neural foraminal stenosis. No significant left neural foraminal stenosis. C5-6: Minimal disc osteophyte complex. There is uncovertebral hypertrophy, particularly on the right with moderate right neural foraminal stenosis. Mild left foraminal narrowing. No significant spinal canal stenosis. C6-7: No significant compromise to the spinal canal or neural foramina.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits. Lumbar:Five lumbar type vertebral bodies are presumed to be present. Examination is motion degraded slightly limiting evaluation. Vertebral body heights are within normal limits. Alignment is within normal limits. Diffuse low T1 marrow signal is noted without focal suspicious lesions. The conus medullaris is normal in position. Multilevel degenerative changes are seen, as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: Minimal disc bulge. No spinal canal or neural foraminal stenosis.L5-S1: Minimal disc bulge and dorsal annular fissure.. No spinal canal or neural foraminal stenosis.Paraspinous soft tissues are within normal limits. There is multilevel facet arthropathy relatively worse at the left L4-L5 and left L5-S1 levels. Left nephrectomy noted.
1. Moderate degenerative changes in the cervical spine with mild spinal canal stenosis at C4-C5. No high-grade spinal canal stenosis in the cervical spine or cord signal abnormality.2. Significant neural foraminal stenosis at the right C3-C4, right C4-C5, and right C5-C6 levels, which may be impinging the right C4-C6 nerve roots. Individual levels as detailed above.3. No significant spinal canal or neural foraminal narrowing in the lumbar spine.4. Diffuse low T1 marrow signal which is nonspecific but can be seen in conditions such as chronic anemias.