Male, 65 years old, with cervical and lumbar degenerative disease, now with bilateral lower extremity weakness. Cervical:Image quality is reduced by motion artifact. Within this limitation, the following observations are made.Alignment is anatomic. Vertebral body heights are preserved. No pathologic marrow replacement or edema is demonstrated. The visualized spinal cord shows grossly normal signal throughout. No epidural abnormalities are suspected.C2-3: No significant spinal canal foraminal stenosis. C3-4: Facet arthropathy. Posterior disc-osteophyte complex formation asymmetric to the left. Moderate spinal canal stenosis with mild cord deformation. Moderate to severe bilateral foraminal narrowing. No interval changes.C4-5: Facet arthropathy on the left. Posterior disc-osteophyte complex formation asymmetric to the left. Moderate generalized spinal canal stenosis with mild cord deformation. Severe left and moderate to severe right foraminal narrowing. No interval changes. C5-6: Facet arthropathy. Posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Moderate to severe bilateral foraminal narrowing. No interval changes. C6-7: Mild central posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. No interval changes.C7-T1: Mild posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild left foraminal narrowing. No interval changes.Lumbar:Apart from mild straightening of the lumbar lordosis, spinal alignment is anatomic and unremarkable. Vertebral body heights are observed. There is a transitional morphology of the L5 vertebral body. No areas of pathologic marrow replacement or edema are demonstrated. The distal spinal cord, conus, and nerve roots of the cauda equina are unremarkable. No epidural abnormalities are suspected.L1-2: Mild facet arthropathy. No significant spinal canal or foraminal stenosis. No interval changes. L2-3: Mild facet arthropathy. Bulging disc with a small superimposed right paracentral protrusion. Mild spinal canal stenosis, particularly of the right lateral recess. Moderate right and mild left foraminal narrowing. No interval changes. L3-4: Mild facet arthropathy. Ligamentum flavum thickening. Disc bulging. Mild generalized spinal canal stenosis. Mild bilateral foraminal narrowing. No interval changes. L4-5: Mild facet arthropathy. Mild bulging disc. Mild spinal canal narrowing. Moderate bilateral foraminal narrowing. No interval changes. L5-S1: Facet arthropathy, right side was the left. Bulging disc with a small right paracentral protrusion, increased in size from the prior exam. No significant spinal canal stenosis. Mild bilateral foraminal narrowing.
1.Multilevel degenerative disease in the cervical spine is grossly unchanged when compared to the prior study. This includes moderate spinal canal stenoses at C3-4 and C4-5 as well as scattered foraminal narrowing.2.Multilevel degenerative disease in the lumbar spine is also grossly stable with the exception of a small right paracentral protrusion at L5-S1 which has increased. Nevertheless, this does not cause a significant canal stenosis. Scattered foraminal narrowing is seen as above.