25-year-old with kyphosis and new onset lower extremity numbness.. Thoracic:There is pronounced thoracic kyphosis (apex at T7) as well as dextroscoliosis similar to prior. Please refer to recent radiography for degree of the abnormality. There is mild anterior wedging of the T6-T8 vertebral bodies with endplate Schmorl nodes which are unchanged. The remainder of the vertebral body height is preserved. No thoracic vertebral malformation is seen. The signal of the visualized cord is normal. There is a small disc protrusion with dorsal annular fissure at the T4-T5 level which mildly indents the right ventral cord. This appears slightly more rounded but otherwise not significantly changed. Mild T5-T6 protrusion also unchanged. Right T7-T8 protrusion appears less prominent. Mild T8-T9 bulge is also not significantly changed. Dorsal thecal sac is widely patent. No evidence of frank cord compression. The paraspinal soft tissues are unremarkable.Lumbar:There are 5 lumbar type vertebral bodies with most inferior well-defined disc space labeled L5-S1. Vertebral body heights in the lumbar spine are normal. There is exaggerated lumbar lordosis. Alignment is otherwise maintained. Individual levels as below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: Disk desiccation with dorsal annular fissure and small central protrusion again seen. There is no spinal canal or neural foraminal stenosis.L4/L5: Minimal disk bulge. There is bilateral facet arthropathy which is again seen. No spinal canal or neural foraminal stenosis.L5/S1: Disk desiccation with a small disk protrusion centrally. No spinal canal or neural foraminal stenosis. Paraspinous soft tissues unremarkable.
1. Pronounced thoracic kyphosis and dextroscoliosis with apex at T7 similar to prior MRI. There is also exaggerated lumbar lordosis.2. Unchanged mild anterior wedging of the T6-T8 vertebral bodies with endplate Schmorl nodes. No bone marrow edema.3. Multilevel mild disc bulges and small protrusions are again seen in the mid thoracic spine, relatively worse at T4-5 with mild indentation on the right ventral cord. No significant change since prior. No evidence of frank cord compression, high grade canal stenosis, or cord signal abnormality. 4. Mild degenerative changes in the lumbar spine without spinal canal or neural foramina stenosis at any level in the lumbar spine. There is facet arthropathy at the L4-L5 level.