 Thoracic spine:At the T9/10 level, there is apparent lesion within the right lung measuring up to 16 mm in AP dimension (of its visualized aspects), best seen series 16 image 18.There is minimal anterior wedge deformity of T5, T6, and T7 without marrow edema. The remaining vertebral body heights are maintained. Marrow signal intensity is benign throughout. Degenerative changes are noted of the lower cervical spine with grade 1 anterolisthesis C5 and C6. Osteophyte disc complex, ligamentum flavum thickening, and facet hypertrophy result in mild central stenosis at C5/C6 as well as bilateral neural foraminal stenosis at C5/6 and C6/7.T1/2 demonstrates no significant disc bulge or cord encroachment.T2/3 demonstrates no significant disc bulge or cord encroachment. T3/4 demonstrates a small right paracentral disc protrusion with minimal anterior right hemicord flattening and no intrinsic cord signal abnormality. T4/5 demonstrates no significant disc bulge or cord encroachment. T5/6 demonstrates no significant disc bulge or cord encroachment.T6/7 demonstrates asymmetric bulge to the left causing minimal anterior left hemicord flattening and no intrinsic cord signal abnormality. T7/8 demonstrates no significant disc bulge or cord encroachment. T8/9 demonstrates a small right paracentral disc protrusion causing minimal anterior right cord flattening and no intrinsic cord signal abnormality. T9/10 demonstrates a small right paracentral disc protrusion without cord encroachment.T10/11 demonstrates asymmetric bulge to the right causing mild right neural foraminal stenosis. T11/12 demonstrates a left paracentral disc protrusion without cord encroachment. There is also bilateral facet hypertrophy.T12/L1 demonstrates no significant disc bulge or cord encroachment. Small Schmorl's nodes are present involving T11 and T12.Lumbar spine:There is partial lumbarization of S1 with a rudimentary S1/2 disc.Small Schmorl's nodes involving L1 and L2. Disc desiccation is present throughout.Mild superior endplate deformity is noted of L4 without marrow edema representing a chronic finding. The remaining vertebral body heights are maintained. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable.L1/2: Mild disc bulge and mild bilateral facet hypertrophy without stenosis.L2/3: Mild disc bulge, ligamentum flavum thickening, mild to moderate left facet hypertrophy, and mild right facet hypertrophy without stenosis.L3/4: Trace anterolisthesis L3 on L4, asymmetric bulge to the right, ligamentum flavum thickening, severe bilateral facet hypertrophy, and a small left facet effusion. There is moderate central, mild to moderate left neural foraminal, and moderate right neural foraminal stenosis.L4/5: Trace anterolisthesis L4 on L5, asymmetric bulge to the right, ligamentum flavum thickening, and severe bilateral facet hypertrophy. There is mild central and mild right neural foraminal stenosis.L5/S1:Mild disc bulge, severe left facet hypertrophy, moderate right facet hypertrophy, and bilateral facet effusions (left greater than right). There are no significant stenoses.,S1/2: Unremarkable
1.At the T9/10 level, there is apparent lesion within the right lung measuring up to 16 mm in AP dimension (of its visualized aspects). Recommendations are made to obtain a dedicated chest CT for verification of this lesion. The differential diagnosis would include phase encoding artifact.2.Multilevel degenerative changes of the thoracic spine. Specifically, there are multilevel disc bulges and disc herniations.3.Multilevel degenerative changes of the lumbar spine, worse at L3/4 were there is moderate central, mild to moderate left neural foraminal, and moderate right neural foraminal stenosis.4.Findings were discussed with Dr. Hekmat-panah on 9/26/2016 at approximately 1:40 PM.