Lower back pain with multiple visits and radiating down left leg. Evaluate for cord compression. There is no evidence of cord compression. Degenerative changes are seen in the cervical spine with disc osteophyte complexes at C3-C4, C4-C5, C5-C6, and C6-C7. There is mild to moderate degree of cervical spinal canal stenosis without evidence of frank cord compression. No obvious cord signal abnormality within the limitations of technique.Schmorl's nodes are noted at the T11-L1 endplates. There is minimal anterior wedging of the T11 and T12 vertebral bodies which maybe physiologic. No associated edema. Vertebral body heights are otherwise maintained. No significant spinal canal is stenosis is evident in the lumbar spine. Degenerative changes include multilevel neural foraminal narrowing including mild to moderate stenosis at the left L3-L4 and L4-L5 levels. There is also up to moderate right-sided foraminal stenosis at the L3-L4, L4-L5, and L5-S1 levels. These changes can be better assessed on dedicated lumbar spine study including axial images. There is grade 1 anterolisthesis of L4 and L5.
This is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities. No cord compression is identified.There is evidence of multilevel bilateral neural foraminal stenosis in the lumbar spine which may be contributing to the given history of pain radiating down the left leg. Consider dedicated lumbar spine MRI for better evaluation.