Female, 51 years old, with weakness and numbness and pain in the right lower extremity, myelopathic exam, T10 sensory level. Cervical:The cervical lordosis is straightened. Alignment is unremarkable. Vertebral body height and morphology are within normal limits. Mild edema is seen along the left C6-7 endplates, likely degenerative.The visualized spinal cord demonstrates normal signal intensity. Morphology is unremarkable except as discussed below. No epidural abnormalities are suspected. No pathologic intraspinal enhancement is seen.C2-3: Unremarkable. C3-4: Central disc protrusion which minimally contacts the ventral cord. No significant spinal canal stenosis. No significant foraminal narrowing. C4-5: Unremarkable. C5-6: Mild posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild left foraminal narrowing. C6-7: Mild facet hypertrophy. Mild posterior disc-osteophyte complex formation which contacts and slightly flattens the ventral cord. There is a moderate generalized spinal canal stenosis. There is a superimposed left foraminal protrusion which severely narrows the left neural foramen. The right neural foramen is mildly narrowed.C7-T1: Unremarkable. Thoracic:Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No concerning marrow replacement or marrow edema is seen.The spinal cord demonstrates normal signal intensity and morphology. No pathologic cord or leptomeningeal enhancement is seen. No epidural pathology is suspected.A small left paracentral disc protrusion is seen at T7-8. Scattered facet hypertrophy is also noted. No significant spinal canal or foraminal stenosis is detected.As seen on a lateral scout sequence, there are six lumbar type vertebral bodies and there may be partial fusion across the L5-6 level. Relatively mild degenerative disease affects the partially visualized lumbar spine.
1.Multilevel degenerative findings are seen in the cervical spine, most severely affecting the C6-7 level where there is a disc osteophyte complex which causes moderate generalized spinal canal stenosis. At the same level, there is a left foraminal protrusion which severely narrows the neural foramen.2.Relatively mild degenerative findings are seen in the thoracic spine without significant spinal canal or foraminal stenosis.3.No spinal cord or epidural abnormalities are detected in the cervical or thoracic regions.