History of end-stage renal disease, hepatitis C, alcoholic cirrhosis, hypertension, GERD, cervical myelopathy status post C3 C7 anterior cervical discectomy and fusion complicated by epidural hematoma requiring decompression now with lower extremity weakness, decreased sphincter tone. Evaluate for lumbar myelopathy and cord compression. The vertebral column alignment is within normal limits. There is mild anterior wedge deformity of the T12 vertebral body. The remaining vertebral body heights are preserved. There is moderate loss of disc height at T11-T12 and T12-L1. There are Schmorl's nodes at T12-L1 and L3-L4. The vertebral bone marrow signal is heterogeneous and diffusely hypointense. There is congenital narrowing of the spinal canal with superimposed mild epidural lipomatosis in the lower lumbar and sacral spinal canal. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. Partially imaged are multiple small cysts within the bilateral kidneys.T12-L1: Minimal disc bulge, thickening of the ligamentum flavum, and bilateral facet arthropathy.  L1-L2: Minimal disc bulge, thickening of the ligamentum flavum, and bilateral facet arthropathy.L2-L3: Minimal disc bulge, thickening of the ligamentum flavum, and bilateral facet arthropathy. L3-L4: Mild disc bulge, thickening of the ligamentum flavum, and bilateral facet arthropathy, contributing to mild bilateral foraminal stenosis. L4-L5: Mild disc bulge with central disc protrusion and annular fissure, thickening of the ligamentum flavum, and bilateral facet arthropathy, contributing to mild bilateral neural foramen stenosis. L5-S1: Disc bulge with annular fissure, thickening of the ligamentum flavum and bilateral facet arthropathy, contributing to mild to moderate bilateral neural foramen stenosis.
1. Multilevel degenerative spondylosis of the lumbar spine with bilateral foraminal stenoses at L4 though S1, as well as congenital narrowing of the spinal canal with superimposed mild epidural lipomatosis in the lower lumbar and sacral spinal canal. 2. Findings related to renal osteodystrophy and cystic end-stage kidney disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.