Polyradiculopathy, rule out compressive cervical myelopathy. Decreased mobility and neuropathy. Cervical spine: Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.Multilevel degenerative changes are seen in the cervical spine with multilevel disc height loss and small disc osteophyte complex formation. Individual levels as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: Small disc osteophyte complex and ligamentum flavum thickening. No significant compromise to the spinal canal or neural foramina.C4-5: Small disc osteophyte complex. No significant compromise to the spinal canal or right neural foramen. Mild left neural foraminal narrowing related to uncovertebral hypertrophy and facet arthropathy.C5-6: Small disc osteophyte complex. No significant compromise to the spinal canal or right neural foramen. Mild left neural foraminal narrowing related to uncovertebral hypertrophy.C6-7: Disc osteophyte complex and uncovertebral hypertrophy. No significant compromise to the spinal canal. Minimal bilateral neural foraminal narrowing.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.Lumbar Spine:Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is levocurvature of the lumbar spine with apex at the L2-L3 level. Bone marrow signal is benign. The conus medullaris is normal in position. Multiple small perineural cysts in the sacrum are incidentally noted.Multilevel degenerative changes are seen with disc height loss from L2-L3 to L5-S1 with suggestion of vacuum phenomena at the L2-L3, L4-L5, and L5-S1 levels. Individual levels as described below:L1-L2: Minimal disc bulge, ligamentum flavum thickening, and facet arthropathy. There is no significant spinal canal or neural foraminal stenosis.L2-L3: Moderate disc height loss and mild bulge. There is also ligamentum flavum thickening and facet arthropathy. There is no significant spinal canal stenosis. There is mild right neural foraminal stenosis. Left neural foramen is patent.L3-L4: There is disc height loss and disc bulge with a right dorsal annular fissure. There is also ligamentum flavum thickening and facet arthropathy. Partial effacement of the right lateral recess. No significant central canal stenosis. There is mild to moderate right and mild left neural foraminal stenosis.L4-L5: There is moderate to severe disc height loss and disc bulge including a small central protrusion component. Ligamentum flavum thickening and bilateral facet arthropathy. There is partial effacement of the lateral recesses. No significant central canal stenosis. There is mild to moderate right and mild left neural foraminal stenosis. There may also be impingement of the extraforaminal left L4 nerve root at this level. L5-S1: There is disc height loss with mild bulge. Ligamentum flavum thickening and bilateral facet arthropathy. No significant spinal canal stenosis. There is moderate bilateral neural foraminal stenosis.
1. Mild multilevel degenerative changes in the cervical spine. There is no significant spinal canal stenosis at any level or cord signal abnormality. Mild multilevel neural foraminal narrowing as detailed above.2. Mild to moderate multilevel degenerative changes in the lumbar spine. There is no significant spinal canal stenosis at any level. There is neural foraminal narrowing at multiple levels as detailed above. At the L4-L5 level, there may also be impingement of the extraforaminal left L4 nerve root.