 Thoracic spine: Alignment is anatomic. There are no fractures or subluxations. 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. There are mild degenerative changes including mild disc bulges in the upper thoracic spine without significant central canal stenosis or neuroforaminal narrowing. There is T2 hyperintensity within the left lung measuring 7mm (T2 axial series 10 image 14), which may be lung nodule but not well evaluated on MR. 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. Counting from the cervical spine down, there is stable mild anterolisthesis of L4 over L5 (L5 over S1 per numbering from below as done on prior study) and disc bulge with mild bilateral neuroforaminal narrowing without significant central canal stenosis. Moderate facet arthropathy of the lower lumbar spine. Small right mid-kidney cyst is noted.
1.No evidence of syrinx or thoracic cord signal abnormality as clinically questioned.2.Stable mild anterolisthesis of L5 on S1 (numbering done as on prior study) and disc bulge with mild bilateral neuroforaminal narrowing at this level. No significant spinal canal stenosis. 3.Moderate facet arthropathy in the lower lumbar spine.4.7 mm T2 hyperintensity in the left lung which may represent a lung nodule but not well assessed by MRI.