 There is a mild dextrorotoscoliosis centered at approximately L1/2.Thoracic spine:There are no fractures. Marrow signal intensity is benign throughout. The spinal cord has a smooth contour and 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 no significant disc bulge or cord encroachment. T7/8 demonstrates no significant disc bulge or cord encroachment. T8/9 demonstrates no significant disc bulge or cord encroachment. 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 no significant disc bulge or cord encroachment. Lumbar spine: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 and disc height loss are present throughout. Small Schmorl's nodes are noted along the inferior endplate of L1, and inferior endplate of L2. Modic type II degenerative reactive endplate changes are present at L2/3, L3/4, L4/5, and L5/S1.L1/2: No significant disc bulge or stenosis.L2/3: Diffuse annular disc bulge, slight ligamentum flavum thickening, and mild bilateral facet hypertrophy. There is no significant stenosis.L3/4: Diffuse annular disc bulge, slight ligamentum flavum thickening, and mild bilateral facet hypertrophy. There are no significant stenoses.L4/5: Diffuse annular disc bulge, ligamentum flavum, and moderate bilateral facet hypertrophy. There is a 5 x 4 mm T2 hyperintense focus adjacent to the medial aspect the right facet joint most consistent with a small synovial cyst. There is mild bilateral lateral recess, mild to moderate left neural foraminal, and mild right neural foraminal stenosis.L5/S1:Mild disc bulge and mild bilateral facet hypertrophy without stenosis.
1.Negative noncontrast thoracic spine MRI.2.L4/5:Mild bilateral lateral recess, mild to moderate left neural foraminal, and mild right neural foraminal stenosis.3.Mild degenerative changes are noted elsewhere in the lumbar spine, without significant stenosis, as described in detail above.