 Images are somewhat limited by patient motion. The thoracic spine is in normal alignment, with slight straightening of the normal lower thoracic kyphosis. The vertebral body heights are well-maintained. There is multilevel disc narrowing, up to moderate severe in degree at T5-T6 and T3-T4. No worrisome focal marrow signal abnormality is appreciated. Heterogeneous hyperintense T2 and isointense T1 signal is seen in a rounded configuration along the posterior L1 vertebral body extending into the right pedicle, most compatible with a hemangioma. A smaller hemangioma is seen in the posterior superior T10 vertebral body. The spinal cord is of normal caliber and signal.Mild disc bulges are seen from T2-T3 through T5-T6. There is up to moderate foraminal narrowing at these levels. There is mild to moderate central spinal canal stenosis at T5-T6.At T6-T7, there is a left foraminal disc protrusion with left facet arthropathy resulting in moderate-severe left foraminal narrowing.At T7-T8, there is a left paracentral disc extrusion which migrates cranially by approximately 6 mm. There is minimal central spinal canal stenosis.At T8-T9, there is a left paracentral/foraminal disc protrusion which indents the ventral thecal sac with moderate-severe left foraminal narrowing.At T9-T10, there is a right paracentral disc protrusion which indents the ventral thecal sac with mild central spinal canal stenosis.T10-T11, there is a mild disc bulge mild central spinal canal stenosis. There is mild bilateral facet arthropathy and ligamentum flavum thickening resulting in moderate-severe right and left and mild to moderate right foraminal narrowing.At T11-T12, there is a mild diffuse disc bulge with overall moderate central spinal canal stenosis. There is moderate bilateral facet arthropathy and ligamentum flavum thickening resulting in moderate-severe right and severe left foraminal narrowing.At T12-L1, there is a trace disc bulge with right foraminal prominence and mild bilateral facet arthropathy. There is overall moderate central spinal canal stenosis as well as moderate right greater than left foraminal narrowing.The counting image demonstrates interval progression of previously seen cervical multilevel spondylosis along the mid to lower cervical spine, with now a large posterior osteophyte disc complex at C4-C5, with at least moderate-severe central spinal canal stenosis at that level.There is a nonspecific oval T2 hyperintense lesion within the right kidney.
1. Multilevel thoracic spondylosis with up to moderate central spinal canal stenosis at T11-T12, as well as multiple levels of high-grade foraminal narrowing as detailed above.2. Significant cervical spondylosis partially imaged, now most significant at C4-C5 where there is likely moderate severe central spinal canal stenosis. Dedicated MRI of the cervical spine may be obtained as clinically indicated.