Male, 51 years old, with altered mental status and meningitis. Evaluate for spinal involvement. Cervical:The cervical lordosis is straightened. Sagittal alignment is otherwise unremarkable. Vertebral body morphology and signal characteristics are within normal limits.The spinal cord shows normal signal intensity and morphology. No epidural abnormalities are suspected within the limitation of motion artifact.C2-3: Unremarkable. C3-4: Unremarkable. C4-5: Mild facet hypertrophy. Mild left foraminal narrowing. Otherwise unremarkable. C5-6: Mild facet hypertrophy. Otherwise unremarkable. C6-7: Facet hypertrophy. Right greater than left uncovertebral hypertrophy. No significant spinal canal stenosis. Moderate right foraminal narrowing. C7-T1: Facet hypertrophy. Otherwise unremarkable. Thoracic:Alignment is anatomic. Vertebral body morphology and signal characteristics are within normal limits.The spinal cord shows normal signal intensity and morphology within the limitations of motion artifact. No epidural abnormalities are suspected.No significant disc bulge or disc herniation is seen. The spinal canal and neural foramina are patent.Lumbar:Alignment is anatomic. Vertebral body morphology and signal characteristics are within normal limits.The distal spinal cord and conus are unremarkable. Conus tip terminates at the L1-2 level. The nerve roots of the cauda equina disperse evenly. No epidural abnormalities are suspected.L1-2: Unremarkable. L2-3: Unremarkable. L3-4: Mild facet arthropathy and ligamentum flavum thickening. Mild loss of disc height and disc bulging. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. L4-5: Moderate facet arthropathy. Mild bulging disc. No significant spinal canal stenosis. Mild foraminal narrowing. L5-S1: Moderate facet arthropathy. No significant spinal canal or foraminal stenosis.
1.Within the limitations of a noncontrast examination, no abnormalities of the spinal cord or cauda equina are detected. Likewise, no epidural abnormalities are seen.2.Relatively mild degenerative findings are seen as discussed above without high-grade spinal canal or foraminal stenosis.