 There is mild straightening of the cervical spine, which may be positional. Multilevel degenerative changes of the cervical spine are noted, including multilevel disc desiccation from C2-3 to C6-7. There is mild loss of intervertebral disc space, most prominent at the C3-4 level. At the C3-4 level, there is a disc protrusion with associated moderate to severe spinal canal stenosis and associated increased STIR signal in the spinal cord at this level. Cervical spinal canal is patent at the remaining levels.In the thoracic and lumbar spine, alignment is grossly within normal limits. Vertebral body heights are preserved. There is mild loss of intervertebral disc space and disc desiccation at the L4-5 level. Otherwise, there is no evidence of cord compression or significant spinal canal stenosis in the thoracic and lumbar spine. Mild L4-5 neural foraminal narrowing bilaterally.
1. Examination limited to sequences per cord compression protocol. There is disc protrusion with resulting moderate to severe spinal canal stenosis at the C3-4 level with associated cord signal abnormality. This finding is better assessed on dedicated cervical spine MRI, which was obtained subsequently.2. No evidence of spinal canal stenosis in the thoracic or lumbar spine.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.