52 years Male (DOB:6/19/1964)Reason: r/o compression or stenosis History: neck and back pain, left sided weakness PROVIDER/ATTENDING NAME: JAMES R. BRORSON JAMES R. BRORSON Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology.No abnormal enhancing lesions are appreciated in the cervical spine.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is a small central disc protrusion present 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.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. There is a disc bulge at T8-9.No abnormal enhancing lesions are appreciated in the thoracic spine.Lumbar spine:Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall height. The conus medullaris on sagittal imaging is grossly intact.No abnormal enhancing lesions are appreciated in the lumbar spine.Is level.At L5-S1 there is marked bilateral facet hypertrophy present associated with mild anterior subluxation of L5 on S1. There is narrowing of the neural foramina bilaterally at this level associated with mild encroachment of exiting nerve roots. There is no significant compromise to the spinal canalAt L4-5 there is no significant compromise to spinal canal or neural foramina.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There are some degenerative changes present in the lower lumbar spine at L5-S1 where there is some mild subluxation and facet hypertrophy associated with some mild encroachment of the exiting nerve roots2.There is some mild degenerative changes present in the cervical and thoracic spines without significant compromise to spinal canal or exiting nerve roots.