 Vertebral body heights are intact. Alignment is anatomic. Postsurgical changes of C4-C6 laminectomy with expansion of the canal and posterior fluid appearing similar to the prior exam. The cord is diminutive from C4 to C6 with increased signal which appears similar to the prior exam and likely reflects myelomalacia. No abnormal signal in the thoracic or lumbar cord. No abnormal marrow signal. The lumbar spinal canal is narrowed at all levels, likely congenital. Multilevel disc desiccation and mild disc space loss in the lower thoracic spine. There may be partial sacralization of L5. Moderate diffuse disc bulges at L2-L3 and L3-L4 producing moderate narrowing of the canal.
1.Postsurgical changes and myelomalacia of the cervical spine appears grossly similar to the prior exam without evidence of cord compression.2.Narrowing of the lumbar spine at all levels is likely congenital. Diffuse disc bulges at L2-L3 and L3-L4 produce moderate narrowing of the canal.