Reason: evaluate worsening lumbar degeneration History: left back/hip/thigh pain, b/l foot drop Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology.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. There are endplate and uncal ritual osteophytes present at this level with narrowing of the neural foramina bilaterally left worse than right and encroachment of the left sided exiting nerve roots. There is loss of disk space height and disk desiccation at this level.At C4-5 there is no significant compromise to the spinal canal. There are endplate and uncovertebral osteophytes present at this level associated loss of disk space height and disk desiccation. There is associated narrowing of the neural foramina bilaterally right worse than left with encroachment of exiting nerve roots bilaterallyAt C5-6 there is no significant compromise to the spinal canal. There are endplate and uncovertebral osteophytes present at this level associated loss of disk space height and disk desiccation. There is associated narrowing of the neural foramina bilaterally right worse than left with encroachment of exiting nerve roots bilaterally. Overall is a mild degree of spinal stenosis at this levelAt C6-7 there is no significant compromise to the spinal canal. There are endplate and uncovertebral osteophytes present at this level associated with posterior ligamentous hypertrophy and mild narrowing of the spinal canal appeared there is narrowing of the neural foramina at this level with encroachment of left sided exiting nerve roots.At C7-T1 there is no significant compromise to the spinal canal or neural foramina. There is some endplate and uncovertebral osteophyte is present at this level associated with a disk bulge and some mild encroachment of the exiting nerve roots.The vertebral artery flow voids appear to be intact. Incidental note is made of partial empty sella.Lumbar spine:Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact. There is multilevel disk desiccation present. Patient is status post anterior fusion at L2-3 and L3-4 as well as laminectomy at L2-3 and L3-4. There is a mild right lateral translation of L3 on L4. The patient is status post facetectomies at L3-4 and L2-3.There is mild clumping of nerve roots present at the L2-3 and L3-4 levels.There is a dextrocurvature to the lumbar spine as well as a rotatory component.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is loss of disk space height present at this level as well as some facet hypertrophy.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is a minor disk bulge and mild facet and ligamentum flavum hypertrophy at this levelAt 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.Osteophytes are present along the sacroiliac joints bilaterally.At T10-T11 there is a disk bulge associated with posterior ligamentous hypertrophy and partial effacement of spinal fluid ventral posterior the spinal cord
1.There are degenerative change is present in the cervical spine with multilevel neural foramina encroachment of exiting nerve root as detailed above. This is stable when compared to the prior exam.2.There are are multilevel degenerative changes present in the lumbar spine status post lumbar spine surgery at L2-3 and L3-4 without significant compromise to the spinal canal and nerve roots at this time. This is stable when compared to the prior exam.3.Degenerative changes present at T10- 11with findings suggestive of a mild spinal stenosis. This is stable when compared to the prior exam.