Reason: back pain, leg weakness History: back pain, leg weakness. The vertebral bodies are appropriate in the overall alignment and height. The spinal cord has normal signal characteristics and overall morphology. There is no compromise of the spinal cord. The paraspinal soft tissues appear normal. There are minimal disc osteophyte complexes involving C3-C4, C5-C6, C6-C7, without significant canal stenosis. There are minimal degenerative changes of the thoracic spine. There is a punctate T1 hyperintense focus in the T9 vertebral body, likely representing focal fat or hemangioma. The conus medullaris terminates at the mid L1 level. Mild degenerative changes are seen in the lumbar spine with disc desiccation at the L3-L4, L4-L5, and L5-S1 levels. There is a minimal disc bulge at L3-L4. There are disc herniations at L4-L5 and L5-S1 without evidence of significant spinal canal stenosis. There is mild bilateral neural foraminal narrowing at L5-S1.
1. This is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities. No cord compression is identified. Due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine.2. Mild degenerative changes of the cervical and lumbar spine without evidence of significant central canal stenosis. There is mild L5-S1 neural foraminal stenosis