Reason: r/o cord compression History: b/l leg numbness/pain and lower back pain; urinary frequency The patient is assess anterior fusion at C5, C6 and C7. There are degenerative changes present in the upper cervical spine mainly at C3-4 and C4-5 where there are findings that suggest spinal stenosis at these levels. Compared to 2011 this does not appear to have changed substantially.There are multilevel degenerative changes present in the lower lumbar spine which were also present on exam from 10/20/14. These are mainly in the form of disk bulge and facet hypertrophy at multiple levels with spinal stenosis and encroachment of the exiting nerve roots within the neural foramina at L2-3, L3-4, L4-5 but worse at L3-4. Based on the available information there does not appear to be any gross change however .
This is a limited exam specific for the exclusion of acute cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities or degenerative change. No cord compression is identified. Rather there are degenerative changes present in the cervical spine with spinal stenosis at the C3-4 and C4-5 as well as at L2-3, L3-4 and L4-5. There is no substantial change appreciated when compared to previous exams.Due to the screening nature of this protocol, details are not as evident on imaging as on dedicated protocols of the spine.