Diagnosis: Kidney transplant status End stage renal disease Other symptoms and signs involving the musculoskeletal systemDiagnosis Edits: ||Clinical question: Leg weakness, neuro consult recommendations. No contrast as is s/p kidney transplantSigns and Symptoms: as above Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. There is multilevel disc desiccation present. There appears to be hypertrophy of the ligamentum flavum extending from C1 down to the C4-5 disc space level.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is a diffuse disc bulge present associated with hypertrophy of the ligamentum flavum. There is flattening of the spinal cord associated with T2 signal hyperintensity within the spinal cord at this level. Overall there is severe spinal stenosis at this level.At C4-5 there is a diffuse disc bulge present associated with some ligamentous hypertrophy. There is effacement of spinal fluid ventral and posterior the spinal cord and mild flattening of the spinal cord. Overall there is moderate spinal stenosis at this level.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.Exam is compromised by patient motion.MRI thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots. Exam is compromised by patient motion.
1.There are degenerative changes present in the cervical spine with severe spinal stenosis at C3-4 and moderate spinal stenosis at C4-5. There is associated cord signal change at C3-4 and flattening the spinal cord.2.Exam is compromised by patient motion. This may obscure more subtle abnormalities.