53-year-old female with lumbago and neck pain and tingling down arms CERVICAL SPINE:There is straightening of the cervical spine. Vertebral body heights are maintained. The cervical spinal cord signal intensity and morphology are normal throughout. The craniocervical junction is normal.C2-3: No central spinal stenosis or significant neuroforaminal narrowing. C3-4: Mild degenerative disk disease and mild bilateral left greater than right neuroforaminal narrowing. No central spinal stenosis.C4-5: No central spinal stenosis or significant neuroforaminal narrowing. C5-6: Left uncovertebral and facet joint hypertrophy. Moderate left neuroforaminal narrowing. No spinal stenosis.C6-7: Severe degenerative disk disease and ventral osteophyte causing flattening of the anterior thecal sac. Mild central spinal stenosis. Moderate left and mild right neuroforaminal narrowing.C7-T1: No central spinal stenosis or significant neuroforaminal narrowing.T1-T2: Small central disk protrusion (image two series 701) without significant neuroforaminal narrowing or spinal stenosis.LUMBAR SPINE:Vertebral body heights are maintained. There is grade 2 anterolisthesis of L5 on S1. Alignment is otherwise within normal limits. The signal and morphology of the visualized lower cord and nerve roots appears normal.T12-L1: No central spinal stenosis or significant neuroforaminal narrowing. L1-L2: No central spinal stenosis or significant neuroforaminal narrowing. L2-L3: No central spinal stenosis or significant neuroforaminal narrowing. L3-L4: Mild degenerative disk disease. No central spinal stenosis or significant neuroforaminal narrowing. L4-L5: Moderate degenerative disk disease. No central spinal stenosis or significant neuroforaminal narrowing. L5-S1: Severe degenerative disk disease and vertebral body endplate changes. Moderate to severe right greater and mild left neuroforaminal narrowing. No significant central canal stenosis. There is likely spondylolysis at least on the right.
1. Grade 2 anterolisthesis of L5 on S1 with severe degenerative disk disease and moderate to severe right neuroforaminal narrowing. There is likely a pars defect at least on the right although this could be confirmed by CT imaging if clinically warranted.2. Moderate cervical degenerative changes worst at C6/7 with moderate neuroforaminal narrowing and mild central spinal stenosis.