 CERVICAL SPINE: The cervical spine is in normal alignment. The vertebral body and disc heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. C2-C3: No significant disc bulge, herniation, spinal canal or foraminal stenosis.C3-C4: Bilateral uncovertebral spurs contributing to mild bilateral, worse on the left, foraminal stenosis. No significant disc bulge, herniation, or spinal canal stenosis.C4-C5: Mild disc bulge and uncovertebral spurs contributing to mild right foraminal stenosis. No significant spinal canal or left foraminal stenosis.C5-C6: Mild disc bulge and uncovertebral spurs contributing to mild spinal canal stenosis and mild right greater than left foraminal stenosis. C6-C7: Disc bulge with superimposed right foraminal disc protrusion and uncovertebral spurs, contributing to mild spinal canal stenosis and moderate bilateral foraminal stenosis. C7-T1: Mild disc bulge and uncovertebral spurs, contributing to mild left foraminal stenosis. No significant spinal canal or right foraminal stenosis.THORACIC SPINE: The spinal cord is of normal caliber and signal. The thoracic spine is in normal alignment. The vertebral body heights are well-maintained. There are foci of T1 hyperintense signal at T7 and T9, which likely represent fat-containing hemangiomas. No worrisome focal marrow signal abnormality is appreciated. There is mild loss of disc height at T8-T9 and T9-T10 and mild disc bulge at T8-T9. No significant spinal canal or foraminal stenosis within the thoracic spine. There is a 2.0 x 2.7 cm right thyroid mass. There are multiple enlarged mediastinal lymph nodes. There is a large left adrenal mass measuring 5.2 x 3.8 cm.
1. Mild degenerative changes in the cervical spine without high grade spinal canal stenosis. No cord signal abnormality. Individual levels as detailed above.2. Mild degenerative changes in the thoracic spine without significant spinal canal or foraminal stenosis. No cord signal abnormality.3. Please note postgadolinium sequences could not be obtained due to patient tolerance despite 2 attempts.4. There is a 2.0 x 2.7 cm right thyroid mass. There are multiple enlarged mediastinal lymph nodes. There is a large left adrenal mass measuring 5.2 x 3.8 cm. Consider dedicated CT evaluation.