52-year-old with arm pain and frequent falls. Cervical: Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate height. Mild degenerative changes are seen in the cervical spine with small disk osteophyte complexes and ligamentum flavum thickening. There is mild retrolisthesis of C3 on C4. Alignment is otherwise maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology. Mild 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: Minimal disk osteophyte complex. There is mild to moderate left neural foramina stenosis related to uncovertebral hypertrophy. There is partial effacement of the ventral thecal sac. No significant compromise to the spinal canal or right neural foramina.C4-5: No significant compromise to the spinal canal or neural foramina.C5-6: No significant compromise to the spinal canal or neural foramina.C6-7: No significant compromise to the spinal canal or neural foramina.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. Minimal loss of lumbar lordosis. Alignment is otherwise within normal limits. Bone marrow signal is benign. The conus medullaris is at the lower limits of normal at the inferior L2 level. No fatty filum or other lesions along the cauda equina nerve roots or filum terminalis.Individual levels as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: No significant disc disease. No spinal canal or neural foraminal stenosis.L5-S1: No significant disc disease. No spinal canal or neural foraminal stenosis.Mild facet arthrosis. Paraspinous soft tissues are within normal limits. Incidentally seen is ectopic right kidney within the pelvis.
1. Mild degenerative changes in the cervical spine including at C3-4 where there is minimal retrolisthesis, minimal spinal canal narrowing, and mild to moderate left neural foraminal stenosis related to uncovertebral hypertrophy. Otherwise no significant spinal canal or neural foraminal stenosis in the cervical spine. 2. No significant spinal canal or neural foramina stenosis in the lumbar spine. No compression fractures.3. Pelvic kidney incidentally noted.