 Cervical spine:Alignment is normal. The marrow signal is benign. The cervical cord is normal in signal without abnormal enhancement. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: Unremarkable and unchangedC3/4: Unremarkable and unchangedC4/5: Mild disc bulge without stenosis, unchangedC5/6: Posterior osteophyte disc complex, ligamentum flavum thickening, and bilateral uncinate hypertrophy. There is moderate central, moderate left neural foraminal, and mild to moderate right neural foraminal stenosis. These findings are unchanged.C6/7: Posterior osteophyte disc complex and bilateral uncinate hypertrophy. There is mild to moderate left neural foraminal and moderate right neural foraminal stenosis. These findings are unchanged.C7/T1: Mild right neural foraminal stenosis, unchanged.Thoracic spine:There is a smooth, physiologic thoracic kyphotic curve. The vertebral body heights 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. There is no abnormal enhancement.T1/2 demonstrates no significant disc bulge or cord encroachment.T2/3 demonstrates no significant disc bulge or cord encroachment. T3/4 demonstrates no significant disc bulge or cord encroachment. T4/5 demonstrates a small right paracentral disc protrusion without cord encroachment. T5/6 demonstrates no significant disc bulge or cord encroachment.T6/7 demonstrates mild disc bulge without cord encroachment. T7/8 demonstrates mild disc bulge without cord encroachment. T8/9 demonstrates mild disc bulge without cord encroachment. T9/10 demonstrates mild disc bulge without cord encroachment.T10/11 demonstrates mild disc bulge without encroachment. T11/12 demonstrates no significant disc bulge or cord encroachment. T12/L1 demonstrates no significant disc bulge or cord encroachment. 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. The visualized intra-abdominal and paraspinal contents are unremarkable. There is no abnormal enhancement.L1/2: Mild bilateral facet hypertrophy without stenosisL2/3: Mild bilateral facet hypertrophy without stenosisL3/4: Mild bilateral facet hypertrophy without stenosisL4/5: Mild disc bulge and mild to moderate bilateral facet hypertrophy without stenosisL5/S1: Unremarkable
1.C5/6: Moderate central, moderate left neural foraminal, and mild to moderate right neural foraminal stenosis, unchanged.2.C6/7: Mild to moderate left neural foraminal and moderate right neural foraminal stenosis, unchanged.3.C7/T1: Mild right neural foraminal stenosis, unchanged.4.Multilevel disc bulges throughout the thoracic spine, as well as a small right paracentral disc protrusion at T4/5, none of which encroach the cord.5.Multilevel facet hypertrophy throughout the lumbar spine without significant stenosis.6.There are no abnormal enhancing foci.