Brachial neuritis or radiculitis. Left-sided radiculopathy. Backache. Cervical: Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. Degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: Small central disc protrusion and ligamentum flavum thickening with mild spinal canal narrowing. No significant neural foraminal stenosis.C4-5: Disc osteophyte complex with bilateral uncovertebral hypertrophy and ligamentum flavum thickening. There is resulting moderate to severe spinal canal stenosis with mild flattening of the cord. There is mild to moderate bilateral neural foraminal stenosis.C5-6: Disc osteophyte complex and bilateral uncovertebral hypertrophy with moderate to severe spinal canal stenosis including flattening of the cord. Subtle T2 hyperintensity suspected in the cervical cord bilaterally at this level. There is moderate to severe right and moderate left neural foraminal stenosis.C6-7: Small disc osteophyte complex with minimal spinal canal narrowing. There is mild right and minimal left neural foraminal narrowing.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.Lumbar: Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is mild loss of lumbar lordosis and minimal retrolisthesis of L5 on S1. Alignment is otherwise within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position.Multilevel degenerative changes are seen including disc desiccation throughout and mild loss of disc height, relatively greater at the L5-S1 levels. Individual levels as below:L1-L2: Minimal disc bulge eccentric to the right with minimal right-sided neural foraminal narrowing. Otherwise no significant spinal canal or left neural foraminal stenosis. Mild bilateral facet arthropathy.L2-L3: Disc bulge and ligamentum flavum thickening without significant spinal canal stenosis. Minimal neural foraminal narrowing bilaterally.L3-L4: Disc bulge, mild facet arthropathy, and ligamentum flavum thickening. No significant spinal canal stenosis. There is moderate left neural foraminal stenosis which may be impinging on the left L3 nerve root. No significant right neural foraminal narrowing.L4-L5: Disc bulge, ligamentum flavum thickening, and bilateral facet arthropathy with mild spinal canal stenosis including partial effacement of the right greater than left lateral recesses. There is also mild, left greater than right neural foraminal narrowing bilaterally.L5-S1: Mild disc bulge and small right foraminal protrusion without significant spinal canal stenosis. Mild facet arthropathy. There is moderate right neural foraminal stenosis and mild left neural foraminal narrowing. There is contact of the right L5 nerve root.Paraspinous soft tissues are within normal limits. Mild disc bulges in the partially imaged lower thoracic spine are also noted. Renal cysts again incidentally noted.
1. Multilevel degenerative changes in the cervical spine, worst at the C4-C5 and C5-C6 levels where there is moderate to severe spinal canal stenosis. Subtle foci of T2 hyperintensity in the cord are suspected at the C5-C6 level bilaterally. Neural foraminal stenosis is also seen at C5-C6, individual levels as detailed above.2. Multilevel degenerative changes in the lumbar spine are minimally progressed since 11/19/2007. There is partial effacement of the lateral recesses at L4-L5. No significant central canal stenosis at any level in the lumbar spine. There is moderate left L3-L4 and moderate right L5-S1 neural foraminal stenosis.