 Thoracic spine:There is mild anterior wedge deformity of T7 due to superior endplate compression, containing material which is hypointense on all sequences, consistent with the provided history of prior kyphoplasty.Marrow edema is noted involving the facet joints at T6/7, T7/8, and T8/9 bilaterally, extending into adjacent pedicles, due to facet degenerative hypertrophy. Facet hypertrophy is also noted more inferiorly, however without associated edematous marrow change.Modic type I discogenic reactive endplate change is noted at T6/7, T9/T10, T10/11, T11/12, and T12/L1.Other than the aforementioned T7 wedge deformity, the remaining vertebral body heights are maintained. The spinal cord is without focal atrophy, edema, or myelomalacia. There are no masses.T1/2 demonstrates no significant disc bulge or cord encroachment.T2/3 demonstrates no significant disc bulge or cord encroachment. T3/4 demonstrates no significant disc bulge or cord encroachment. T4/5 demonstrates no significant disc bulge or cord encroachment. T5/6 demonstrates no significant disc bulge or cord encroachment.T6/7 demonstrates diffuse annular disc bulge encroaching the anterior CSF space however without significant cord abutment or resulting stenosis. T7/8 demonstrates diffuse annular disc bulge with a superimposed small paramedian disc protrusion causing minimal anterior left hemicord flattening without intrinsic cord signal abnormality or resulting stenosis. T8/9 demonstrates diffuse annular disc bulge encroaching the anterior CSF space however without significant cord abutment or resulting stenosis. T9/10 demonstrates no significant disc bulge or cord encroachment.T10/11 demonstrates no significant disc bulge or cord encroachment. T11/12 demonstrates no significant disc bulge or cord encroachment. T12/L1 demonstrates trace retrolisthesis T12 on L1, diffuse annular disc bulge encroaching the anterior CSF space however without significant cord abutment or resulting stenosis. Lumbar spine:Alignment is anatomic. There are no fractures or subluxations. 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.Disc desiccation is present throughout somewhat sparing the L5/S1 disc level. Mixed Modic discogenic reactive endplate changes are present at L3/4 and L4/5.L1/2: Mild disc bulge without stenosisL2/3: Mild disc bulge and mild bilateral facet hypertrophy without stenosisL3/4: Diffuse annular disc bulge, ligamentum flavum thickening, moderate bilateral facet hypertrophy, and tiny bilateral facet effusions. There is minimal bilateral neural foraminal stenosis.L4/5: Diffuse annular disc bulge, ligamentum flavum thickening, moderate left facet hypertrophy, and moderate to severe right facet hypertrophy. There is mild central, mild left lateral recess, moderate right lateral recess, and moderate bilateral neural foraminal stenosis.L5/S1:Mild disc bulge, mild left facet hypertrophy, and moderate right facet hypertrophy. There are no stenoses.SI Joints: Bridging marginal osteophytes are consistent with mild osteoarthritic degenerative change
1.There is mild anterior wedge deformity of T7 due to superior endplate compression, containing material which is hypointense on all sequences, consistent with the provided history of prior kyphoplasty.2.L3/4: Minimal bilateral neural foraminal stenosis.3.L4/5: Mild central, mild left lateral recess, moderate right lateral recess, and moderate bilateral neural foraminal stenosis.