Leg and arm weakness, severe back pain shooting to legs Cervical: Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is loss of cervical lordosis with mild kyphotic angulation of the apex at the C3-C4 level. There is minimal anterolisthesis of C3 on C4. Bone marrow signal is benign. Examination is motion degraded but demonstrates no convincing cord signal abnormality. 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: There is disc osteophyte complex and uncovertebral hypertrophy with partial effacement of the ventral thecal sac. No significant spinal canal stenosis. There is moderate right neural foraminal stenosis. Mild left neural foraminal stenosis. Prominent facet arthropathy on the right.C4-5: No significant spinal canal stenosis. Mild uncovertebral hypertrophy on the left with mild left and no significant right neural foraminal stenosis. C5-6: Uncovertebral hypertrophy with mild to moderate left and mild right neural foraminal stenosis. No significant spinal canal stenosis. C6-7: Disc osteophyte complex and uncovertebral hypertrophy. There is no significant spinal canal stenosis. There is mild bilateral, left worse than right, neural foraminal stenosis. Facet arthropathy, worse on the left.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. Alignment is within normal limits. Bone marrow signal is benign with T1 hyperintense lesion at L1 compatible with hemangioma. The conus medullaris is normal in position.Multilevel degenerative changes are seen, as described below:L1-L2: Minimal disc bulge. No spinal canal or neural foraminal stenosis.L2-L3: Minimal disc bulge. No spinal canal or right neural foraminal stenosis. Minimal left neural foraminal narrowing.L3-L4: Mild disc bulge. No spinal canal stenosis. Mild right and minimal left neural foraminal stenosis.L4-L5: Mild disc bulge. There is bilateral facet arthropathy. No significant spinal canal stenosis. There is mild left neural foraminal stenosis.L5-S1: Mild disc bulge. There is advanced facet arthropathy on the left. There is moderate to severe left neural foraminal stenosis where there may be impingement of the left L5 nerve root. No significant right neural foraminal narrowing.Paraspinous soft tissues are within normal limits. Bilateral renal cysts are noted.
1. Multilevel degenerative changes in the cervical spine without high-grade spinal canal stenosis at any level. No cord signal abnormality. Multilevel neural foraminal stenosis, worst at the right C3-C4 level. Additional levels as above.2. Multilevel degenerative changes in the lumbar spine. There is moderate to severe left L5-S1 neural foraminal stenosis where there is suspected impingement of the left L5 nerve root. No significant spinal canal stenosis. Additional levels as above.