 Alignment is anatomic. Multilevel heterogeneous marrow signal may be related to chronic renal disease. Additionally, there are multiple large Schmorl nodes. No findings to suggest acute cord compression.Multilevel cervical spondylosis with multilevel mild to moderate central spinal canal stenosis. There is questionable signal changes in the cervical spinal cord at C5/6 level which may be degenerative in etiology versus artifact.Increased STIR signal within L3/L4 disk space may be reactive inflammatory changes and underlying discitis is a concern. There is additionally a compression deformity of the inferior endplate of L3. There is disc bulge with possible annular tear resulting in severe central spinal canal stenosis at L3/4. No pre-vertebral soft tissue or epidural collections. Additional multilevel lumbar spondylosis noted. There is no evidence of traumatic subluxation. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized paraspinal contents are unremarkable.
1.No findings to suggest acute cord compression.2.Increased STIR signal within L3/L4 disk space may be reactive inflammatory in etiology and underlying diskitis is a concern. Severe central spinal canal stenosis at L3/4, likely from degenerative changes. Dedicated lumbar spine MRI examination is recommended.3.Multilevel cervical spondylosis as above with questionable signal changes within the cervical spine which may be secondary to degenerative changes. Dedicated cervical spine MRI examination is recommended.Findings relayed to Dr. Carter over phone in the Emergency Department at 0940 hours. 