Cervical spondylosis without myelopathy Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal. There is a disc bulge present at this level associated with bilateral uncovertebral osteophytes and narrowing of the neural foramina bilaterally. Overall there is no significant compromise of the spinal cord. These findings were present on the prior exam and have not changed substantially.At C4-5 there is no significant compromise to the spinal canal. There are small uncovertebral osteophytes present at this level associated with disc material bilateral narrowing of the neural foramina and encroachment of the left exiting nerve roots. These findings were present on the prior exam and have not changed substantially.At C5-6 there is loss of disc space height, disc bulge, endplate and uncovertebral osteophytes as well as encroachment of the neural foramina bilaterally with encroachment of exiting nerve roots and effacement of spinal fluid ventricle and posterior to spinal cord. Overall there is moderate spinal stenosis at this level. These findings were present on the prior exam and have not changed substantially.At C6-7 there is loss of disc space height, and disc bulge and bilateral uncovertebral osteophytes as well as small endplate osteophytes and narrowing of the neural foramina bilaterally and encroachment of the exiting nerve roots bilaterally. There is a mild to moderate degree of spinal stenosis present at this level. This was present on the prior exam and has not changedAt C7-T1 there is no significant compromise to the spinal canal. There is a right lateral recess disc protrusion present at this level associated with encroachment of the right-sided exiting nerve roots. This was also present on the prior exam and has not substantially progressed.The vertebral artery flow voids appear to be intact.MRI thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The patient is status post laminectomy at T11-T12. There is redemonstration of multilevel degenerative changes in the thoracic spine with a Schmorl's nodes at multiple levels. At T5-6 there is a right paramedian disc protrusion redemonstrated and unchanged.At the T11-T12 level there is a disc bulge present. Additionally there is some signal change redemonstrated within the spinal cord posteriorly and eccentric towards the right side this level associated with focal volume loss. There is no compromise of thoracic spinal canal or exiting nerve roots.
1.There is redemonstration of multilevel degenerative changes present in the cervical spine with moderate spinal stenosis at C5-6 and mild to moderate spinal stenosis at C6-7 which have not substantially progressed since the previous exam from March 2013. There is multilevel encroachment of exiting nerve roots within the neural foramina present as detailed above which for the most part has not changed since the prior exam.2.The patient is status post laminectomy at T11-T12. There is some myelomalacia present at the spinal cord at this level. This is stable when compared to the previous exam.