77 years Female (DOB:9/11/1938)Reason: mri History: left arm painPROVIDER/ATTENDING NAME: BEN-ZION ROITBERG BEN-ZION ROITBERG Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. There is anterior fusion at C6-7 using metallic hardware..At C2-3 there is no significant compromise to the spinal canal or neural foramina. There is a mild disc bulge and disc desiccation present.At C3-4 there is no significant compromise to the spinal canal. There are some endplate and uncovertebral osteophytes present at this level associated with narrowing of the neural foramina bilaterally and encroachment of the exiting nerve roots within the neural foramina. There is mild narrowing of the spinal canal is level. There is loss of disc space height and disc desiccation at this level. This is stable compared to prior exam.At C4-5 there is no significant compromise to the spinal canal. There are some endplate and uncovertebral osteophytes present at this level associated with narrowing of the neural foramina bilaterally and encroachment of the exiting nerve roots within the neural foramina. There is mild narrowing of the spinal canal is level. There is loss of disc space height and disc desiccation at this level. This is stable compared to prior exam.At C5-6 there is no significant compromise to the spinal canal or neural foramina. There is loss of disc space height and disc desiccation at this level.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.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 straightening of the normal lordotic curvature of the lumbar spine which was also the case on the prior exam.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a disc bulge present at this level. Although the neural foraminal are narrowed, within the neural foramina the exiting nerve roots are surrounded by fat.At L4-5 there is loss of disc space height, disc desiccation and a diffuse disc bulge associated bilateral facet hypertrophy and ligamentum flavum hypertrophy with effacement of the fat at the lateral recess bilaterally. The nerve roots within the thecal sac or crowded. Compared to the prior exam there is some progression of spinal stenosis. There is a moderate to severe degree of spinal stenosis present at this level. The stenosis has progressed since the prior exam. Although the neural foraminal are narrowed, within the neural foramina the exiting nerve roots are surrounded by fat.At L3-4 there is loss of disc space height, disc desiccation and diffuse disc bulge associated with ligamentum flavum hypertrophy. There is effacement of the fat at the lateral recess bilaterally at this level. There is some crowding of the nerve roots within the thecal sac. Overall there is a moderate degree of spinal stenosis at this level. This stenosis has progressed since prior exam. Although the neural foraminal are narrowed, within the neural foramina the exiting nerve roots are surrounded by fat.At L2-3 there is loss of disc space height, disc desiccation and a diffuse disc bulge associated with some mild ligamentum flavum hypertrophy and triangulation of the thecal sac. There is some crowding of the nerve roots present at this level and partial effacement of the fat at the lateral recess bilaterally. Overall there is mild to moderate spinal stenosis at this level. This appears to have progressed compared to the prior exam. Although the neural foraminal are narrowed, within the neural foramina the exiting nerve roots are surrounded by fat.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There are multilevel degenerative changes in the lumbar spine associated with moderate to marked degree of spinal stenosis at L4-5 and moderate spinal stenosis at L3-4 and mild to moderate spinal stenosis at L2-3. 2.There are degenerative changes present in the cervical spine worse at C3-4 and C4-5-4 there is encroachment of exiting nerve roots within the neural foramina and mild degrees of spinal canal narrowing which are stable compared to the previous exam.