Report for Patient Cullen, Alexis, C Page 1 of 3

WMCAI - Radiology Report

Patient Name : Cullen, Alexis, Accession No : 9026820

C

Patient ID : 1271789 Study Date / Time : 12/16/2022 1:09:06

PM

Birth Date : 05/11/1980 Procedure Description : MRI LS SPINE

C+/C-

Gender : F

Final Result

Name: CULLEN, ALEXIS C

MRN: 1271789 Sex: F
DOB: 05/11/1980
Primary Care Physician:
Requesting Physician: JIN LI

Exam: MRI LS SPINE C+/C- 12/16/2022 14:56

Report
CLINICAL HISTORY: Myelopathy

COMPARISON: MRI of the lumbosacral spine from January 14, 2020.

TECHNIQUE:
MRI of the cervical spine:
MRI of the cervical spine is performed without and with contrast material
utilizing multiplanar multiecho technique before and after the uneventful
intravenous administration of 8.8 mL of IV Gadavist contrast material.
MRI thoracic spine:
MRI of the thoracic spine is performed without and with contrast material
utilizing multiplanar multiecho technique before and after the uneventful
intravenous administration of 8.8 mL of IV Gadavist contrast material.
MRI lumbosacral spine:
MRI of the lumbosacral spine is performed without and with contrast material
utilizing multiplanar multiecho technique before and after the uneventful
intravenous administration of 8.8 mL of IV Gadavist contrast material.
FINDINGS:
MRI cervical spine:
There is reversal of the expected cervical lordosis centered at C5-C6. There
is no bone marrow or soft tissue edema. No evidence of Chiari I malformation.

The cervical spinal cord is grossly unremarkable in caliber and signal

characteristics. There is no abnormal enhancement of the visualized cervical
spine.

At C2-C3, there is a disc bulge asymmetric to the right with a superimposed

right lateral recess/foraminal disc protrusion which results in mild
narrowing of the right lateral recess and neural foramen. There is no central
canal stenosis or left foraminal narrowing.

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Report for Patient Cullen, Alexis, C Page 2 of 3

There is a disc bulge at C3-C4 asymmetric to the right resulting in mild

spinal canal stenosis with mild narrowing of the right lateral recess and
neural foramen. No left-sided foraminal narrowing.

At C4-C5, there is mild lateral bulging of the disc with marginal endplate
osteophytes and uncovertebral arthropathy which result in mild in canal
stenosis with mild bilateral foraminal narrowing.
Intervertebral disc height loss and disc desiccation with disc osteophyte
complex and uncovertebral arthropathy, at C5-C6, a resulting in moderate
spinal canal stenosis and moderate bilateral neural foraminal narrowing. No
evidence of spinal cord compression.

At C6-C7, Intervertebral disc height loss and disc desiccation with a mild
disc osteophyte complex and uncovertebral arthropathy resulting in mild
spinal canal stenosis with moderate left and mild right foraminal narrowing.

At C7-T1, there is left facet arthropathy which mildly narrows left neural
foramen. The central canal stenosis or right foraminal narrowing.

MRI thoracic spine:

Alignment and curvature of the thoracic spine is preserved. Marrow signal is

homogeneous and unremarkable. There is a 0.6 cm hemangioma within the T1
vertebral body.

The vertebral body heights are maintained. There is endplate Schmorl's nodes
and anterior endplate osteophytes in the mid and lower thoracic spine.

At T7-T8, there is a left central disc protrusion which mildly narrows the
spinal canal. There is no foraminal narrowing.
The thoracic spinal cord is unremarkable in caliber and signal
characteristics. No abnormal enhancement of the visualized thoracic spine.
MRI lumbosacral spine:

The curvature the lumbosacral spine is preserved. There is grade 1

anterolisthesis at the L4-L5 level, degenerative in nature. There is left and
possible right spondylolysis at the L5-S1 level.

There is bone marrow edema and enhancement of the facet joints at the L4-L5
level, right greater than left which likely represents stress reaction.
Conus medullaris terminates at approximately the L1-L2 level. No abnormal
enhancement of the visualized lumbosacral spine.
There is intervertebral disc height loss and disc desiccation at L4-L5 with a
small central disc protrusion superimposed upon a symmetric disc bulge,
bilateral facet arthropathy and ligamentous hypertrophy resulting in moderate
spinal canal stenosis with thecal sac compression and moderate right and mild
left neural foraminal narrowing. There is encroachment upon the exiting right
L4 nerve root.

There is intervertebral disc height loss and disc desiccation at L5-S1 with a
disc bulge asymmetric to the left with left lateral endplate osteophytes and
facet arthropathy resulting in moderate left and mild right neural foraminal
narrowing. No significant spinal canal stenosis. There is encroachment upon
the exiting left L5 nerve root.

IMPRESSION:
MRI cervical spine:

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Report for Patient Cullen, Alexis, C Page 3 of 3

1. Multilevel degenerative changes of the cervical spine most severe at C5-C6

resulting in moderate spinal canal stenosis and mild bilateral neuroforaminal
narrowing.
2. No abnormal enhancement of the cervical spine.

MRI thoracic spine:

1. Mild spinal canal stenosis without foraminal narrowing at the T7-T8 level.
2. No abnormal enhancement of the visualized thoracic spine.
MRI lumbosacral spine:

1. Bone marrow edema and enhancement of the facet joints at the L4-L5 level,
right greater than left which likely represents stress reaction.
2. Interval development of grade 1 anterolisthesis at the L4-L5 level which
appears to be degenerative in nature.

3. Left and likely right spondylolysis at the L5-S1 level without associated
spondylolisthesis.

4. Degenerative changes of the lumbosacral spine which are progressed

compared to previous MRI examination from January 14, 2020 with moderate
spinal canal stenosis at L4-L5 and bilateral neuroforaminal narrowing at the
L4-L5 and L5-S1 levels.

5. No abnormal enhancement of the visualized lumbosacral spine.

Resident Radiologist: Timothy Diestelkamp MD Resident Radiologist

Attending Radiologist: Laurie Sanchez
Finalizing Radiologist: Laurie Sanchez
Transcribed Date: 12/19/2022 09:05
Finalized Date: 12/19/2022 09:36

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