Male, 63 years old, with altered mental status, unsteady gait, urinary incontinence. Cervical:Alignment is anatomic. Vertebral body height and morphology are normal. No concerning marrow replacement or pathologic marrow enhancement is seen.The visualized spinal cord demonstrates normal signal intensity and morphology. No pathologic parenchymal or leptomeningeal enhancement is seen. No epidural abnormalities are suspected.C2-3: Unremarkable. C3-4: Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild left foraminal narrowing. C4-5: Unremarkable. C5-6: Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. C6-7: Mild posterior disc-osteophyte complex formation. No spinal canal stenosis. Mild to moderate right and mild left foraminal narrowing. C7-T1: Unremarkable. Thoracic:Slight exaggeration of the typical kyphosis is seen in the upper thoracic spine but alignment is otherwise unremarkable. Vertebral body height and morphology are within normal limits. No pathologic marrow replacement or marrow enhancement is seen.The visualized spinal cord demonstrates normal signal intensity and morphology. No pathologic parenchymal or leptomeningeal enhancement is seen. No epidural abnormalities are suspected.The intervertebral discs are preserved. No disc herniation, spinal canal stenosis or significant foraminal narrowing is detected.Incidental note is made of pleural thickening and/or fluid on the right.Lumbar:There is a slight kyphotic angulation centered at L1-2, but otherwise, alignment is anatomic. Vertebral body height and morphology are within normal limits. No concerning marrow replacement or pathologic marrow enhancement is seen.The visualized distal spinal cord, conus and nerve roots of the cauda equina are unremarkable. No abnormal intrathecal enhancement is seen. No epidural abnormalities are suspected.L1-2: Loss of disc height and T2 signal. No significant spinal canal or foraminal stenosis. L2-3: Unremarkable. L3-4: Unremarkable. L4-5: Very mild disc bulging. No significant spinal canal stenosis. Mild left foraminal narrowing. L5-S1: Mild facet arthropathy. No significant spinal canal or foraminal stenosis.
1.No evidence of cord compression or any significant compromise of the spinal canal or neural foramina.2.No spinal cord or nerve root abnormalities.3.Mild degenerative findings as above.