Paresthesia of skin [R20.2] / Anesthesia of skin [R20.0], Reason for Study: ^Reason: eval for stenosis, herniation History: b/l foot numbness Cervical Spine MRILoss of normal cervical lordosis with straightening of cervical spine.There is no evidence of abnormal spinal cord signal intensity.Vertebral body height is preserved and MR signal intensity is normal.Degenerative changes are as follow;C23: Within normal limits.C34: Broad-based central to left disc protrusion which minimally narrows right lateral recess. Otherwise unremarkable.C45: Minimal bulging of disc otherwise unremarkable.C56: Broad based disc protrusion which abuts thecal sac with evidence of annular fissure. In addition, associated focal protrusion of disc narrows right lateral recess. C67: Within normal limitsC7T1: Within normal limitsLumbar spine MRIFor the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. The lumbar lordosis appears to be lessen than normal, unchanged since prior scan. The spine alignment is anatomic. The vertebral body height is preserved. The signal of the visualized cord is normal. The conus medullaris terminates at the L1 level. Degenerative changes are specified by the intervertebral level as follows: T12-L1: no neuroforaminal narrowing or spinal stenosis. L1-L2: Broad based disc bulging which indents thecal sac results mild to moderate spinal canal stenosis. Disc dessication is seen. Unchanged since prior scan. L2-L3: Diffuse bulging of disc with disc dessication which abuts thecal sac results minimal spinal canal stenosis, unchanged since prior scan. L3-L4: Interval development od broad based disc bulging which abuts thecal sac results mild to moderate spinal canal stenosis.no neuroforaminal narrowing or spinal stenosis. L4-L5: Disc dessication, otherwise unremarkable. L5-S1: no neuroforaminal narrowing or spinal stenosis.
1. Multilevel various degree disc degenerations as described above. 2. Disc herniation at the level C56 and interval disc bulging of L34 are noted. 3. Unchanged disc bulging with mild to moderate spinal canal stenosis at the level of L12 and L23 since prior scan.4. Normal spinal cord signal intensity.