 C-SpineThere is central to left and slightly extended toward left side lateral recess, broad based disc protrusion which abuts thecal sac at the level of C56. The cervical spine lost normal lordosis. There is about 11mm tonsilar herniation through the foramen magnum.Spinal cord signal intensity is normal.The cervical spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal narrowing or myelopathy. Thoracic SpineThere is normal thoracic kyphosis.The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal narrowing, cord compression, or myelopathy. The conus medullaris terminates at the T12-L1 level.Lumbar spineThere are disc dessication at the level of L23, L45 and L5S1.Minimal bulging of disc at the level of L23 and diffuse bulging of disc associated with central to left disc protrusion at the level of L45 which abuts thecal sac. At the level of L5S1, there is broad based disc protrusion central to left which extents toward left side lateral recess and abuts left side S1 nerve root.There is normal lumbar lordosis. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. There is no evidence of abnormal enhancement, cord compression or mass.
1. About 11mm tonsilar herniation as described above.2. Multi-level various degreed intervertebral disc herniations including C56, L45 and L5S1 as described above.3. Normal spinal cord signal intensity. 