 Cervical spine: There is slight reversal of normal upper cervical lordosis without fracture. There is mild degenerative marrow signal heterogeneity without discrete suspicious osseous lesion. The cervical cord is normal in signal. There is mild degenerative cervical spondylosis with level specific findings as follows: C2-3: No significant central canal or neuroforaminal stenosis. C3-4: Mild posterior osteophyte disc complex without cord abutment or stenosis.C4-5: Posterior osteophyte disc complex causes anterior midline cord flattening without intrinsic cord signal abnormality. There are no significant stenoses. A focal disk protrusion seen on the prior study appears improved. C5-6: Posterior osteophyte disc complex and bilateral uncinate hypertrophy. There is moderate left neural foraminal and mild right neural foraminal stenosis.C6-7: Posterior osteophyte disc complex abuts the cord without deformation or stenosis. There is moderate left and mild right neural foraminal stenosis.C7/T1: Minimal midline posterior osteophyte disc complex without stenosis.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 is no significant central canal or neuroforaminal stenosis. There is mild dependent pleural fluid versus thickening. Lumbar spine: 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 an appropriate level. A simple renal cyst is present on the left, otherwise the visualized intra-abdominal and paraspinal contents are unremarkable.L1-2: No significant central canal or neuroforaminal stenosis. L2-3: No significant central canal or neuroforaminal stenosis. L3-4: Mild disc bulge and slight ligamentum flavum thickening without associated stenosis.L4-5: Disk bulge and slight ligamentum flavum thickening, and moderate bilateral facet hypertrophy containing bilateral facet effusions. There is mild bilateral lateral recess and mild bilateral neural foraminal stenosis.L5/S1: Mild disc bulge without stenosis.
1. No suspicious lesions in the cervical, thoracic, or lumbar spine, and no significant interval change since the prior study from 8/11/12. 2. Mild cervical and lumbar degenerative disease as detailed above is not significantly changed. 3. Please see separately dictated MRI pelvis report for description of findings in the pelvis. 