Weakness, back pain, can't walk. Hemodialysis patient. There is slight straightening of the spinal curvature. The vertebral bodies are appropriate in the overall alignment and height. There is diffuse low T1 and T2 signal the bone marrow which is nonspecific however can be related to renal osteodystrophy. There is mild diffuse spinal canal stenosis predominantly on a developmental basis. No obvious cord signal abnormality or evidence of acute cord compression. Multilevel degenerative changes of the cervical spine are demonstrated, relatively worse at C6-C7 where there may be up to moderate spinal canal stenosis secondary to a disc osteophyte complex formation. There is no evidence for high-grade spinal canal stenosis.
1. This is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities. No cord compression is identified. There is developmental narrowing of the spinal canal with superimposed mild degenerative changes, relatively worse at the C6-7 level where there may be up to moderate stenosis and which can be better assessed with dedicated cervical spine image if clinically indicated.2. Due to the screening nature of this protocol details are not as evident on imaging as with dedicated protocols of the spine.