47-year-old female with low back pain, hand weakness, left arm numbness, leg weakness. Evaluate for stenosis, radiculopathy explaining hand weakness. CERVICAL SPINE: Alignment and vertebral body heights are maintained. Craniocervical junction is intact. No evidence of ligamentous injury. Marrow signal is benign. Spinal cord signal is within normal limits. No significant spinal canal or neural foraminal stenosis.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. Marrow signal is benign; focal increased T1/T2 signal within L1 vertebral body likely a benign hemangioma. There are minimal degenerative changes with no acute fracture or subluxation. Minimal circumferential disc bulge at L3-4 and L4-5 noted with no significant neural foraminal or spinal canal stenosis.
Minimal degenerative changes in the lumbar spine. No compromise to the cervical or lumbar spinal canal or neural foramina.