 CERVICAL: There is mild motion degradation of some sequences limiting evaluation. There is multilevel disk desiccation and loss of disk height. The vertebral body heights are preserved. The cervical osseous marrow signal is heterogeneous and somewhat low on T1, nonspecific. There is mild straightening. The cord caliber and signal are within normal limits. C2-3: Disk osteophyte complex and right uncovertebral hypertrophy causing no spinal stenosis.C3-4: Disk osteophyte complex and bilateral right greater than left uncovertebral hypertrophy causing minimal spinal canal stenosis and moderate-severe bilateral neural foraminal stenosis.C4-5: Disk osteophyte complex and right uncovertebral hypertrophy causing mild-moderate spinal canal stenosis with focal ventral indentation on the cord and moderate-severe right neural foraminal stenosis but no significant cord signal abnormality.C5-6: Disk osteophyte complex and bilateral uncovertebral hypertrophy causing no significant spinal canal stenosis and moderate bilateral neural foraminal stenosis.C6-7: Disk osteophyte complex and left greater than right uncovertebral hypertrophy causing moderate left and mild right neural foraminal stenosis with no significant spinal canal stenosis.C7-T1: Disk osteophyte complex and bilateral uncovertebral hypertrophy causing severe bilateral neural foraminal stenosis. No significant spinal canal stenosis.T1-2: Disk bulge with no significant spinal canal stenosis and moderate right neural foraminal stenosis.T2-3: Trace bulge with no spinal stenosis.LUMBAR: The last well formed disk space is referred to as L5-S1. There is minimal 4-mm retrolisthesis of T12 on L1. The osseous marrow signal is heterogeneous and somewhat low on T1, nonspecific. There is disk desiccation at essentially all levels in the lumbar spine with variable degrees of loss of disk height. The vertebral body heights are preserved. The conus terminates at mid L2 level and is within normal limits of signal, and morphology. There is a thin linear hyperintense T1 structure in the distal dorsal thecal sac measuring less than 2 mm in thickness, likely representing a fatty filum.T10-11: Mild diffuse disk bulge with no significant spinal stenosis.T11-12: Diffuse disk bulge with no significant spinal stenosis.T12-L1: Mild diffuse disk bulge, uncovering of the disk, causing no significant spinal stenosis.L1-2: No disk herniation or spinal stenosis.L2-3: Mild disk bulge and facet arthrosis with small facet joint effusions, ligamenta flava thickening and prominence of posterior epidural fat causing no significant neural foraminal stenosis and minimal spinal canal stenosis.L3-4: Diffuse disk bulge, and moderate facet arthrosis with small facet joint effusions and prominence of posterior epidural fat causing mild to moderate spinal canal stenosis and mild right neural foraminal stenosis.L4-5: Diffuse disk bulge with left paracentral annular fissure and moderate facet arthrosis causing no significant spinal stenosis.L5-S1: No disk herniation or spinal stenosis.
1.Multilevel cervical spondylosis, worst at C4-5 are there is mild to moderate spinal canal stenosis without cord signal abnormality. Please see details above.2.Multilevel lumbar spondylosis with prominent posterior epidural fat in the mid to lower lumbar spine causing mild to moderate spinal canal stenosis at L3-4. Please see details above.3.Fatty filum is present which can be an incidental finding with normal conus termination, however it can also be associated with tethered cord. Please correlate clinically.