Hyper-reflexia in the lower extremities. There is a combination of disc-osteophyte complex, ligamentum flavum thickening, and facet hypertrophy that result in severe stenosis of the spinal canal at T11-12, as well as moderate bilateral neural foraminal stenosis. There is associated focal compression and T2 hyperintensity of the spinal cord at this level. There are disc-osteophyte complexes and facet degenerative changes at T10-11, where there is mild spinal canal stenosis and moderate to severe bilateral neural foraminal stenosis, at T9-10, where there is mild bilateral neural foraminal stenosis, and at T7-8, where there is mild right spinal canal and neural foramen stenosis. There is mild straightening of the thoracic vertebral column alignment in the sagittal plane. The vertebral body and disc space heights are preserved. There is a hemangioma within the T7 vertebral body. The paravertebral soft tissues are unremarkable.
1. Significant spinal canal stenosis at T11-12 with associated myelomalacia.2. Degenerative spondylosis at other levels of the thoracic spine, including at T10-11, where there is mild spinal canal stenosis and moderate to severe bilateral neural foraminal stenosis, at T9-10, where there is mild bilateral neural foraminal stenosis, and at T7-8, where there is mild right spinal canal and neural foramen stenosis.