 Thoracic spine:There is a smooth, physiologic thoracic kyphotic curve. The vertebral body heights and disc spaces are maintained. Marrow signal intensity is benign throughout. The spinal cord has a smooth contour and is without focal atrophy, edema, or myelomalacia. There are no masses. There is no abnormal enhancement. Mild dependent atelectasis is most likely secondary to the patient's sedation status during image acquisition, although this has been described on previous chest x-ray. There is a small right pleural effusion. There are no stenoses.Lumbar spine:There is partial lumbarization of S1 including a rudimentary disc at S1/2.Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The conus is normal in signal and morphology and terminates at the L2 level. The visualized intra-abdominal and paraspinal contents are unremarkable. There is no abnormal enhancement. There is no fatty filum. There are no stenoses.
1.Mild dependent atelectasis is most likely secondary to the patient's sedation status during image acquisition, although this has been described on previous chest x-ray. 2.There is a small right pleural effusion.3.Otherwise negative noncontrast MRI of the thoracic and lumbar spine. Specifically, there are no MRI findings to explain the patient's difficulty with gait.