75 years Female (DOB:12/22/1940)Reason: altered gait History: altered gaitPROVIDER/ATTENDING NAME: BEN-ZION ROITBERG BEN-ZION ROITBERG Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal. There are left-sided uncovertebral osteophytes present this level associated with disc material which encroaches on the left-sided exiting nerve roots within the neural foramen this level. There is also facet hypertrophy present on the left-sided this levelAt C5-6 there is no significant compromise to the spinal canal or neural foramina. There is moderate left-sided facet hypertrophy at this level. The left-sided uncovertebral osteophytes at this level. There is encroachment of the left-sided exiting nerve roots within the neural foramen at this level.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. The right posterior inferior cerebellar artery loop extends down to the C1-2 levelMRI thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots. At T12-L1 there is endplate reactive change present which has high signal on T2 and is associated with some Schmorl's nodes and a disc bulge. There is no compromise to the spinal canal at this level. There is mild narrowing of the left T12-L1 neural foramen at this level as a result of disc material.T6-7, T7-T8, T8-T9 and T10-T11 there are endplate reactive changes of chronic stage associated with Schmorl's nodes.
1.There are degenerative changes present in the cervical spine associated with encroachment of the left-sided exiting nerve roots at C4-5 and C5-6.2.There are degenerative changes present in the thoracic spine associated with acute endplate reactive changes.