 Examination is motion degraded. The cervical spine is in normal alignment. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the cervical spine although motion degradation slightly limits evaluation. No abnormal enhancement. No evidence of epidural tumor. THORACIC SPINE
1. Examination is somewhat motion degraded. No suspicious osseous lesions however are appreciated to suggest metastatic disease in the spine. No compression fractures. No evidence of epidural tumor. 2. Degenerative changes in the lumbar spine without high grade spinal canal or neural foraminal stenosis at any level. There is mild right L4-5 neural foraminal narrowing questionably contributing to right leg pain; correlate with signs of right L4 radiculopathy. There is facet arthropathy in the lower lumbar spine which may be contributing to low back pain.3. Extraspinal findings include left lower lobe mass and atelectasis,16x23 mm right thyroid lobe nodule, and left adrenal mass, better assessed on prior CT.