Reason: abnormality History: spinal stenosis with radiculopathy 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. There is a disk bulge present at this level. There is right-sided facet hypertrophy with narrowing of the right neural foramen at this level.At C3-4 there is a diffuse disk bulge present There are endplate and uncovertebral osteophytes present associated with loss of disk space height, disk desiccation and endplate reactive changes. There is effacement of spinal fluid ventral and to a lesser degree posterior to the spinal cord creating a mild/moderate degree of spondylostenosis. There is narrowing of the neural foramina right worse than left with encroachment of right-sided exiting nerve roots at this level.At C4-5 there is no significant compromise to the spinal canal. There is loss of disk space height, disk desiccation and uncovertebral osteophytes at this level associated with encroachment of the left-sided exiting nerve roots in the neural foramenAt C5-6 there is a diffuse disk bulge present There are endplate and uncovertebral osteophytes present associated with loss of disk space height, disk desiccation and endplate reactive changes. There is effacement of spinal fluid ventral and to a lesser degree posterior to the spinal cord with a mild degree of spondylostenosis. There is narrowing of the neural foramina bilaterally with encroachment of the exiting nerve roots bilaterally at this level and a mild to moderate encroachment of the exiting nerve roots.At C6-7 there is disk desiccation and diffuse disk bulge associated with uncovertebral osteophytes and encroachment of the exiting nerve roots bilaterally.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.At L5-S1 there is no significant compromise to spinal canal. There is loss of disk space height, disk desiccation, diffuse disk bulge and some endplate reactive change at this level. There is narrowing of the neural foramina as a result of disk bulge with encroachment of the exiting nerve roots within the neural foramina bilaterally. There is also some partial effacement of the fat at the left lateral recess with some mild encroachment of the nerve roots of the left lateral recess at this level .At L4-5 there is no significant compromise to spinal canal or neural foramina. There is loss of disk space height, disk desiccation and diffuse disk bulge at this levelAt L3-4 there is no significant compromise to spinal canal or neural foramina. There is mild disk desiccation at this level.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.
1.There are multilevel degenerative changes in the cervical spine with mild to moderate spinal stenosis at C3-4 and neural foramina encroachment of exiting nerve roots bilaterally at C5-6 and C6-7 , the left side at C4-5 and on the right side at C3-4.2.There are degenerative changes present in the lower lumbar spine with some encroachment of the exiting nerve roots bilaterally at L5-S1