Osteoarthritis, severe back pain Thoracic: Thoracic vertebral body heights are maintained. Alignment is maintained. No significant spinal canal or neural foraminal stenosis is seen. Thoracic cord is normal in signal and contour. Bone marrow signal is benign with no suspicious lesions. Mild degenerative changes are seen with minimal disk bulges at T2-T3, T3-T4, T4-T5, T5-T6, T6-T7, T7-T8, and T8-T9. Overall appearance is not significantly changed since 4/9/2011.Lumbar: Numbering is performed as per prior studies with the most inferior well-defined disc space labeled L5-S1. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position.There is no significant disk disease at any level. There is no significant spinal canal or neural foramina stenosis at any level in the lumbar spine. There is facet arthropathy in the lumbar spine, particularly at the L5-S1 level, and is not significantly changed. Paraspinous soft tissues are within normal limits.
1. Mild degenerative changes in the thoracic spine and lumbar spine without significant spinal canal stenosis or neural foramina stenosis at any level in the thoracic or lumbar spine. No compression fractures.2. There is facet arthropathy in the lumbar spine, particularly at L5-S1, which may be contributing to patient's low back pain. Appearance is similar to prior study from 2005.