Female, 63 years old, with history of endometrial cancer presenting with right hand numbness and persistent leg pain. Evaluate for cord compression. Cervical:Spinal alignment is anatomic. Vertebral body heights are preserved. Degenerative endplate signal abnormality is seen primarily at C5-6 and C6-7. Otherwise, no pathologic marrow replacement is observed. The visualized spinal cord shows normal signal intensity and morphology. No epidural abnormalities are detected.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: No spinal canal stenosis or neuroforaminal narrowing. C4-5: Facet arthropathy. Minimal posterior disc-osteophyte complex formation. No significant spinal canal or foraminal stenosis. C5-6: Loss of disc height with posterior disc-osteophyte complex formation. Mild spinal canal narrowing. Moderate right and mild left foraminal narrowing. C6-7: Loss of disc height with posterior disc-osteophyte complex formation. Moderate spinal canal narrowing without significant cord impingement. Mild bilateral foraminal narrowing. C7-T1: No spinal canal stenosis or neuroforaminal narrowing.  Thoracic:The thoracic kyphosis is slightly exaggerated but sagittal alignment is otherwise unremarkable. Vertebral body heights are preserved. No pathologic marrow replacement or edema is seen. Degenerative endplate signal alteration is noted in the mid thoracic levels. The visualized spinal cord shows normal signal intensity throughout. Slight cord deformation is evident at T7-8 and T8-9 due to disc degeneration. No epidural abnormalities are suspected.At T7-8, bilateral paracentral disc protrusions are seen which slightly indent the cord but which cause no significant generalized canal stenosis. The neural foramina are patent.At T8-9, a central disc protrusion mildly indents the ventral cord but causes no significant generalized spinal canal stenosis. The neural foramina are patent.Lumbar:Five fully lumbar type vertebral bodies are present with a transitional S1. Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No areas of concerning marrow replacement or edema are seen. The distal spinal cord, conus and nerve roots of the cauda equina are within normal limits. No epidural abnormalities are detected.L1-2 and L2-3: The intervertebral discs are preserved with no significant spinal canal or foraminal compromise.L3-4: Facet arthropathy. Minimal disc bulge. No significant spinal canal stenosis. The neural foramina are mildly narrowed.L4-5: Facet arthropathy. Minimal disc bulging. No significant spinal canal or foraminal stenosis.L5-S1: Advanced facet arthropathy. No significant spinal canal or foraminal stenosis.
1.No findings are seen to suggest metastatic disease or cord compression.2.Multilevel degenerative findings are evident in the cervical region resulting in mild spinal canal narrowing at C5-6 and moderate spinal canal narrowing at C6-7. Scattered variable foraminal narrowing is also seen.3.Mild degenerative findings are seen in the thoracic region with slight cord impingement at T7-8 and T8-9 but no significant generalized canal stenoses.4.Minimal disc degeneration is seen in the lumbar region without significant spinal canal or foraminal compromise. However, advanced facet arthropathy is noted at L5-S1.