 Vertebral body heights in the thoracic spine are normal. No worrisome focal marrow signal abnormality is appreciated. There is trace prominence of the central canal involving the upper thoracic cord. The spinal cord is otherwise of normal caliber and signal. Mild degenerative changes are seen in the thoracic spine including disc desiccation and height loss at multiple levels in the lower thoracic spine. There is a small left paracentral disc extrusion at the T9-T10 level with mild superior migration and associated mild deformity of the left ventral cord. There is overall no significant spinal canal stenosis at this level. There is also significant disc height loss at the T11-T12 level with associated endplate marrow signal changes and mild disc bulge. There is facet arthropathy and ligamentum flavum thickening at this level. There is also mildly exaggerated thoracic kyphosis and mild spinal canal stenosis at this level. There is mild deformity of the ventral cord without cord signal abnormality. This finding was partially imaged on recent lumbar spine MRI study. Aside from the kyphotic deformity at this level, alignment of the thoracic spine is grossly maintained.There is no significant disk bulge, herniation, spinal canal or foraminal stenosis elsewhere within the thoracic spine. Paraspinous soft tissues are unremarkable.
1. Degenerative changes in the lower thoracic spine including disc bulge at the T11-T12 level with mild spinal canal stenosis. There is also a small left paracentral disc extrusion at the T9-T10 level. There is mild associated deformity of the cord at these levels as described above without cord signal abnormality. There is no higher grade spinal canal stenosis at any level in the thoracic spine. 2. Trace prominence of the central canal in the upper thoracic cord which is of doubtful clinical significance.