71-year-old female with back pain, evaluate for herniated disc. History of breast cancer. Thoracic MRI:There is a smooth, physiologic thoracic kyphotic curve. Mild chronic anterior wedge deformity is noted involving T7 and T8. Scattered foci of reactive endplate changes are noted throughout the mid and lower thoracic spine associated with disc desiccation and disc height loss.T1/2 demonstrates no significant disc bulge or cord encroachment.T2/3 demonstrates no significant disc bulge or cord encroachment. T3/4 demonstrates no significant disc bulge or cord encroachment. T4/5 demonstrates no significant disc bulge or cord encroachment. T5/6 demonstrates no significant disc bulge or cord encroachment.T6/7 demonstrates no significant disc bulge or cord encroachment. T7/8 demonstrates no significant disc bulge or cord encroachment. T8/9 demonstrates no significant disc bulge or cord encroachment. T9/10 demonstrates no significant disc bulge or cord encroachment.T10/11 demonstrates a small right paracentral disc protrusion and right facet hypertrophy without cord encroachment or stenosis.T11/12 demonstrates no significant disc bulge or cord encroachment. T12/L1 demonstrates no significant disc bulge or cord encroachment. The spinal cord has a smooth contour and is without focal atrophy, edema, or myelomalacia. There are no masses.Lumbar MRI:Redemonstrated is straightening of the lumbar curvature with some dextroscoliosis of the lower lumbar spine, unchanged. The vertebral body heights are preserved. The conus is normal in signal and morphology and terminates at appropriate level. The visualized paraspinal contents are unremarkable.There is variable disc height loss in the upper lumbar spine most prominent at the L2-3 level. Additional endplate degenerative changes including Schmorl's nodes are seen in the L1-L4 vertebral levels. These findings are unchanged.L1/2: Mild loss of disc height and without significant disc protrusion or neural foraminal or spinal canal compromise, unchanged. L2/3: Moderate disc disease with a small disc bulge and mild facet arthropathy. Minimal right neural foraminal narrowing. No spinal canal stenosis. These findings are unchanged.L3/4: Moderate disc disease, minimal disc bulge and mild facet arthropathy. No significant compromise of the spinal canal and neural foramina. These findings are unchanged.L4-5 and L5-S1: Mild disc disease without disc bulge or compromise of the spinal canal or neural foramina. These findings are unchanged.
1.Mild chronic anterior wedge deformity is noted involving T7 and T8.2.T10/11 demonstrates a small right paracentral disc protrusion and right facet hypertrophy without cord encroachment or stenosis.3.L2/3: Minimal right neural foraminal narrowing, unchanged.4.There is no acute disc herniation of the thoracic or lumbar spine.