Female, 65 years old, with bilateral leg pain and numbness, walking with a cane which is new. A reversal of the cervical lordosis is seen, likely degenerative in etiology. A grade 1 anterolisthesis of L3 relative to L4 is also noted. Elsewhere, alignment is anatomic.With the exception of Schmorl's nodes at T11 and L4, vertebral body height is preserved. No concerning marrow replacement or marrow edema is detected.Multilevel cervical spondylosis is seen with disc osteophyte formation which does result in some degree of spinal canal narrowing, particularly at the C5-6 level. These findings have mildly progressed when compared to the prior examination.Multilevel degenerative findings are also seen in the lumbar spine with disc bulging and posterior element hypertrophy. There is resultant spinal canal narrowing at least at L3-4. The right L3-4 neural foramen is also significantly narrowed. Findings have progressed when compared to the prior examination.No evidence of any acute cord compression is seen.
1.No evidence of acute cord compression.2.Multilevel degenerative findings are seen in the cervical and lumbar spine which result in chronic narrowing of the spinal canal. If clinically warranted, these areas can be evaluated with non-emergent dedicated imaging.