 Images are limited by patient motion. The cervical spine is in normal alignment, with straightening of the normal cervical lordosis. The vertebral body heights are well-maintained. There is multilevel disk narrowing, most prominent at C5-C6 through C7-T1. No worrisome focal marrow signal abnormality is appreciated, with endplate degenerative changes at C5-C6 and C6-C7. The spinal cord is of normal caliber and signal.At C2-C3, there is no significant disk pathology or stenosis.At C3-C4, there is a trace disk bulge and minimal bilateral facet arthropathy resulting in mild bilateral foraminal narrowing.At C4-C5, there is a mild diffuse posterior osteophyte disk complex with right paracentral/proximal foraminal prominence. There is indentation of the right ventral thecal sac laterally. There is suggestion of minimal bilateral uncovertebral hypertrophy with overall moderate right foraminal narrowing.At C5-C6, there is a trace posterior osteophyte disk complex a slight left paracentral prominence and bilateral uncovertebral hypertrophy without stenosis.At C6-C7, there is a mild diffuse posterior osteophyte disk complex with bilateral uncovertebral hypertrophy. There is mild bilateral foraminal narrowing.At C7-T1, there is a trace posterior osteophyte disk complex with bilateral uncovertebral hypertrophy and mild bilateral foraminal narrowing.THORACIC SPINE
1. Mild cervical spondylotic changes with moderate right foraminal narrowing at C4-C5.2. No significant thoracic degenerative changes.3. Incidental prominent probable lipoma within the posterior subcutaneous fat along the mid thoracic region with mild localized mass-effect. Please correlate with physical exam.