 CERVICAL: There is some motion degradation of the axial images limiting evaluation. There is straightening of the cervical spine. The vertebral body heights are preserved. There is disk desiccation at all levels in the cervical spine with mild loss of disk height at C4-5, C5-6 and C6-7. The cord caliber and signal are within normal limits. No abnormal enhancement is seen within the limitations of mild motion degradation.C2-3: Minimal disk and endplate degenerative changes with no spinal stenosis.C3-4: Minimal disk and endplate degenerative changes with no spinal stenosis.C4-5: Minimal disk and endplate degenerative changes with no spinal stenosis.C5-6: Minimal disk and endplate degenerative changes and mild left facet arthropathy with mild left neural foraminal stenosis.C6-7: Small disk osteophyte complex with left paracentral component causing moderate left neural foraminal stenosis.C7-T1: Unremarkable.T1-2: Unremarkable.LUMBAR: The last well formed disk space is referred to as L5-S1. There is straightening of lumbar lordosis. Vertebral body heights are preserved. The conus terminates in superior L2 level and shows normal signal intensity. There is no abnormal enhancement in the lumbar spine.T12-L1: No disk herniation or spinal stenosis.L1-2: Prominence of posterior epidural fat, ligamenta flava thickening and mild facet arthrosis with no spinal stenosis.L2-3: Prominence of posterior epidural fat, ligamenta flava thickening and mild facet arthropathy. No disk herniation or spinal stenosis.L3-4: Prominence of posterior epidural fat, ligament flava thickening, mild facet arthrosis. No disk herniation or spinal stenosis.L4-5: Disk desiccation with mild loss of disk height, diffuse disk bulge asymmetric to the right with annular fissure, ligamenta flava thickening, moderate facet arthrosis combining to cause moderate right neural foraminal stenosis. Disk material encroaches upon the right subarticular zone with mild posterior displacement of the traversing right L5 nerve root as compared to the left.L5-S1: Disk bulge with right foraminal protrusion and osteophytic ridging causing moderate right neural foraminal stenosis. No spinal canal or neural foraminal foraminal stenosis.This is an incompletely imaged prominent cystic structure in the right hemipelvis.
1.Degenerative changes in the cervical spine causing left neural foraminal stenosis at C5-6 and C6-7.2.Multilevel lumbar spondylosis worst at L4-5. There is moderate right neural foraminal stenosis at this level with disk material encroaching upon the right subarticular zone with mild posterior displacement of the traversing right L5 nerve root as compared to the left.3.No significant spinal canal compromise at any other level in the cervical or lumbar spine.4.Incompletely imaged cystic structure in the right hemipelvis of uncertain etiology, though such lesions are commonly adnexal in origin. Dedicated pelvic imaging should be considered.