 Cervical spine:The cervical spine that demonstrates no abnormal signal in the vertebral bodies. There is normal alignment of the vertebral bodies.The intervertebral disc space at C2-C3 is normal with no significant spinal stenosis.At the level of C3-C4 there is a disk bulge associated with loss of disc height and disc desiccation. There is associated posterior ligamentous hypertrophy. There is effacement of the spinal fluid ventral and dorsal to the spinal cord. Overall there is moderate spinal stenosis is seen. There are bilateral uncovertebral osteophytes present at this level associated with disc material and associated with encroachment of the exiting nerve roots bilaterally.At the level of C4-C5 there is a disk bulge associated with loss of disc height and disc desiccation. There is associated posterior ligamentous hypertrophy. There is effacement of the spinal fluid ventral and dorsal to the spinal cord. Overall there is moderate spinal stenosis is seen. There are bilateral uncovertebral osteophytes present at this level associated with disc material and associated with encroachment of the exiting nerve roots on the right side.At the level of C5-C6 there is a disk bulge associated with loss of disc height and disc desiccation. There is associated posterior ligamentous hypertrophy. There is partial effacement of the spinal fluid ventral and dorsal to the spinal cord. Overall there is mild to moderate spinal stenosis is seen. There are bilateral uncovertebral osteophytes present at this level associated with disc material and associated with encroachment of the exiting nerve roots on the right side.At the level of C6-C7 there is a disk bulge associated with loss of disc height and disc desiccation. There is associated posterior ligamentous hypertrophy. There is partial effacement of the spinal fluid ventral and dorsal to the spinal cord. Overall there is mild spinal stenosis is seen. There are bilateral uncovertebral osteophytes present at this level associated with disc material and associated with encroachment of the exiting nerve roots bilaterally.At the level of C7-T1 there is loss of disc space height, disc desiccation and a mild disc bulge. There is mild narrowing of the neural foramina bilaterally at this level as a result of disc material with some mild encroachment of the exiting nerve roots. There is no significant compromise to the spinal canal.MRI thoracic spine:The thoracic spine is in normal alignment, with a normal thoracic kyphosis. The vertebral body and disk heights are well-maintained. Mild disc bulges are seen in the intervertebral disc spaces of T1-T2 and T2-T3. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal.There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the thoracic spine. Lumbar spine:The lumbar spine demonstrates loss of the normal lumbar lordosis. A 25 mm axial dimension well-circumscribed lesion in the left half of the C2 vertebral body most likely represents a vertebral body hemangioma it is bright on T1-weighted imaging and suppresses signal on the fat suppressed images.At the level of T12-L1 there is no significant disc abnormalities.At the level of L1-L2 there is loss of disc space height, diffuse disc bulge, disc desiccation and bilateral ligamentum flavum hypertrophy. Overall there is a moderate degree of spinal stenosis present at this level. This is at theAt the level of L2-L3 there is loss of disc space height, disc desiccation, endplate reactive changes of a chronic stage and a diffuse disc bulge. Overall there is a mild to moderate degree of spinal stenosis at this level and there is narrowing of the neural foramina bilaterally at this level.At the level of L3-L4 there is loss of disc space height, disc desiccation and diffuse disc bulge associated with endplate osteophytes. There is bilateral facet hypertrophy and ligamentum flavum hypertrophy at this level. There is partial effacement of the fat within the neural foramina at this level. Overall there is a mild to moderate degree of spinal stenosis at this level.At the level of L4-L5 there is loss of disc space height, diffuse disc bulge and bilateral ligamentum flavum hypertrophy. There is fluid identified within the facet joints at this level. There is effacement of the fat at the lateral recesses sees at this level and mild narrowing of the neural foramina bilaterally at this level. Overall there is a mild degree of spinal stenosis at this level.At the level of L5-S1 there is loss of disc space height, disc desiccation and a diffuse disc bulge associated with the mild ligamentum flavum hypertrophy. There is encroachment of the nerve roots at the right lateral recess at this level as a result of disc material. There is encroachment of the exiting nerve roots within the neural foramina bilaterally at this level as a result of the disc material
1.There are multilevel degenerative changes present in the lumbar spine with mild to moderate spinal stenosis at L45, L3-4 and L2-3 and moderate spinal stenosis at L1-2.2.There are multilevel degenerative changes present in the cervical spine with moderate spinal stenosis at C2-3 and C3-4 and mild to moderate spinal stenosis at C5-6 and C6-7. There is multilevel neural foramen encroachment of exiting nerve roots in the cervical spine as detailed above3.There are mild degenerative changes present in the thoracic spine.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.