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Back Problems Message Board


Back Problems Board Index


Clinical History
Bilateral leg weakness/low back pain/hyperreflexia


Comparison
None


Technique
Routine MRI of the cervical spine and lumbar spine without contrast


Findings
MRI cervical spine:

Straightening of the normal lordotic curvature which may be due to positioning
or spasm. The alignment is maintained in the sagittal plane. Normal bone
marrow signal intensity.

The cervical spinal cord is normal in caliber and contour, without
intramedullary edema. No cerebellar tonsillar ectopia.

C2-C3: No stenosis

C3-C4: No stenosis

C4-C5: No stenosis

C5-C6: small central disc protrusion indenting the ventral thecal sac, with
minimal central canal stenosis, no neural foraminal stenosis

C6-C7: Small left paracentral disc protrusion and endplate osteophyte, minimal
left central stenosis, no neural foraminal stenosis

C7-T1: No stenosis

T1-T2: No stenosis
AND
MRI lumbar spine:

The alignment of the lumbar spine is maintained in the sagittal plane, without
spondylolisthesis. The vertebral body heights are preserved. Normal bone
marrow signal intensity. Small Schmorl's node is on the endplates of the L2-L4
vertebral. The conus medullaris terminates on the low side and normal at the
inferior L2 level. The cauda equina is unremarkable. No obvious fatty filum.

L1-2: No stenosis

L2-L3: No stenosis

L3 L4: No stenosis

L4-L5: No stenosis. Minimal facet arthropathy

L5-S1: No stenosis. Minimal facet arthropathy

17 mm right renal cyst


Impression
1. Mild degenerative disease of the cervical spine at the C5-6 and C6-7 levels
with minimal central canal stenosis. No intramedullary cervical spine
abnormality identified

2. Minimal degenerative disease of the lumbar spine, without stenosis.

3. 17 mm right renal cyst





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