Female, 58 years old, with neck pain, left upper extremity pain and weakness, low back pain, bilateral thigh pain and right outer calf pain. Cervical:A slight reversal of the cervical lordosis is seen. Sagittal alignment is otherwise unremarkable. Vertebral body height and morphology are within normal limits. No marrow replacement or marrow edema is detected. The visualized spinal cord demonstrates normal signal intensity and morphology throughout. No epidural abnormalities are detected.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: Tiny central disc protrusion. No significant spinal canal stenosis or neuroforaminal narrowing. C4-5: Mild posterior disc-osteophyte complex formation asymmetric to the left with slight effacement of the ventral thecal sac but no significant spinal canal stenosis. Mild left foraminal narrowing. C5-6: Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild left foraminal narrowing. C6-7: Minimal posterior disc-osteophyte complex formation. No significant spinal canal stenosis. Mild left foraminal narrowing. C7-T1: No spinal canal stenosis or neuroforaminal narrowing. Lumbar:Trace anterolisthesis of L4 relative to L5 is seen. Sagittal alignment is unremarkable. Vertebral body height and morphology are within normal limits. No marrow replacement is seen. Mild endplate degenerative edema is noted at L5-S1. The visualized distal spinal cord, conus and nerve roots of the cauda equina are within normal limits. No epidural abnormalities are suspected.L1-2: Unremarkable. L2-3: Minimal disc bulging. No spinal canal or foraminal stenosis. L3-4: Mild facet arthropathy and ligamentum flavum thickening. Minimal disc bulging. No significant spinal canal or foraminal stenosis. L4-5: Moderate facet arthropathy and ligamentum flavum thickening. Mild disc bulging. No significant spinal canal stenosis. Mild right foraminal narrowing. L5-S1: Moderate facet arthropathy. Disc bulging with a small left paracentral protrusion. No significant generalized spinal canal stenosis. Mild left foraminal narrowing.
Relatively mild degenerative findings are seen in the cervical and lumbar spine with no areas of high-grade spinal canal stenosis, severe foraminal narrowing or obvious nerve root impingement.