 Cervical spine: There has been anterior fusion of the cervical spine from C4 through C6. The cervical spine is in normal alignment, with a normal cervical lordosis. The vertebral body heights are well-maintained. There is no focal bone marrow signal abnormality to suggest neoplasm. There is no abnormal leptomeningeal enhancement. There are mild posterior disc osteophyte complexes at throughout the cervical spine. There is mild spinal canal stenosis at C3-C4 with slight flattening of the ventral spinal cord. There is no abnormal spinal cord signal. There is multilevel bilateral facet arthropathy and uncovertebral hypertrophy. There is multilevel neural foraminal stenoses, up to a moderate degree bilaterally at C3-C4, on the left at C5, and bilaterally at C5-C6.Thoracic spine: There is a small syrinx beginning at the level of T2-T3, which extends caudally to the T12-L1 level. The syrinx measures up to 4 mm in greatest axial dimension at T11. There is mild resultant expansion of the spinal cord. The thoracic spine is in normal alignment. The vertebral body heights are well-maintained. There is mild loss of intervertebral disc height at multiple levels. There are mild disc bulges and ligamentum flavum hypertrophy at multiple levels throughout the thoracic spine without significant spinal canal or neural foraminal stenosis. Small foci of increased T1 and T2 signal are present in the vertebral bodies of T1 and T12, compatible with intraosseous hemangiomas or focal fatty marrow. Otherwise, there is no focal bone marrow signal abnormality to suggest neoplasm. There is no abnormal leptomeningeal enhancement. There are multiple pulmonary nodules bilaterally, as well as a small left pleural effusion.Lumbar spine: The lumbar spine is in normal alignment, with a normal lumbar lordosis. The vertebral body heights are well-maintained. Foci of increased T1 and T2 signal are demonstrated in the L1 vertebral body, compatible with an intraosseous hemangioma or focal fatty marrow. There are bone marrow signal abnormalities of the endplates of the L3, L4, and L5 vertebral bodies compatible with degenerative endplate changes. Likewise, there is enhancement surrounding multiple bilateral lower lumbar facet joints, which is likely degenerative in nature. The conus medullaris and cauda equina nerve roots within normal limits. There are small disc bulges at L1-L2, L2-L3, and L5-S1. There are also disc bulges at L3-L4 and L4-L5. There is multilevel facet arthropathy/ligamentum flavum hypertrophy. There is multilevel resultant spinal canal stenoses, which is mild at L2-L3 and L4-L5, and moderate at L3-L4. There is neural foraminal narrowing at multiple levels, which is moderate on the left and severe on the right at L3-L4 and L4-L5. There appears to be impingement on the examining right L4 nerve root. There are multiple nonenhancing round lesions in the kidneys up to 14 mm, some of which demonstrate increased T1 signal, likely representing renal cysts.
1. No evidence of metastatic disease involving the vertebrae or spinal canal.2. Multilevel cervical spondylosis with mild spinal canal stenosis at C3-C4.3. Long segment syrinx in the thoracic cord, which measures up to 4 mm in width, without associated mass or spinal cord compression in the thoracic spine.4. Multilevel lumbar spondylosis, which is most pronounced at L4-L5. 5. Multiple pulmonary metastases ar better depicted on the prior chest CT.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.