 CERVICAL SPINE:The marrow signal is benign. The cervical cord is normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. Multilevel degenerative changes are noted about the cervical spine with diffuse disc dessication. The visualized paraspinal contents are unremarkable.C2/3: No significant spinal canal stenosis or neuroforaminal narrowing. C3/4: Shallow central disc protrusion. Mild right uncovertebral hypertrophy. No significant spinal canal stenosis or neuroforaminal narrowing.C4/5: Left greater than right facet hypertrophy. 1 mm of anterolisthesis of C4 on C5 with mild disc uncovering and mild central spinal canal stenosis. Mild left neuroforaminal narrowing. No right neuroforaminal narrowing. C5/6: Posterior disc-osteophyte complex and ligamentum flavum hypertrophy with resultant moderate central spinal canal stenosis. Moderate facet and uncovertebral hypertrophy with moderate right and mild left neuroforaminal stenosis.C6/7: Posterior disc-osteophyte complex and ligamentum flavum hypertrophy with resultant moderate central spinal canal stenosis. Moderate uncovertebral and facet hypertrophy with resultant moderate bilateral neuroforaminal narrowing.C7/T1: No significant spinal canal stenosis or neuroforaminal narrowing.Nonspecific pleuroparenchymal opacities are noted in the lung apices, left greater than right, possibly related to scarring.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.A somewhat lobulated T2 hyperintense lesion is partially visualized in the liver measuring at least 2.5 cm.
1.Multilevel degenerative disease of the cervical spine as described above.2.Moderate spinal canal stenosis of C5-6 and C6-7 levels.3.Grade 1 anterolisthesis of C4 on C5.4.Unremarkable MR of the thoracic spine.5.A somewhat lobulated possibly cystic lesion is partially visualized in the liver, which can be further evaluated with ultrasound if clinically warranted.