 Examination of the thoracic and lumbar spine is limited to sagittal T2 sequences as requested. There is no evidence of spinal canal stenosis at any level in the thoracic or lumbar spine. No obvious cord signal abnormality is evident. Vertebral body heights appear normal. Alignment is maintained aside from some loss of normal lumbar lordosis. Minimal degenerative changes are seen in the thoracic spine. Mild to moderate degenerative changes are seen in the lumbar spine including disc desiccation at L3-L4, L4-L5, and L5-S1 with small associated disc bulges, and endplate marrow changes at L4-L5 and L5-S1. Facet arthropathy is also evident at L4-L5 and L5-S1. There appears to be mild to moderate narrowing of the neural foramina at L4-L5 and L5-S1.
1. Examination of the thoracic and lumbar spine limited to sagittal T2 sequences demonstrates no evidence of cord compression or spinal canal stenosis at any level in the thoracic or lumbar spine.2. Degenerative changes are seen in the lower lumbar spine with mild to moderate neural foraminal narrowing suspected bilaterally at L4-L5 and L5-S1, which can be further evaluated with additional axial sequences if clinically indicated.