 Cervical spine:There is mild straightening of the normal cervical lordosis. There is diffuse heterogeneity of the bone marrow signal. 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.C1/2: No significant canal stenosis.C2/3: No significant canal or neural foraminal stenosis.C3/4: No significant canal or neuroforaminal stenosis.C4/5: No significant canal stenosis. Mild bilateral uncovertebral hypertrophy without neural foraminal stenosis.C5/6: No significant canal stenosis. Mild right uncovertebral hypertrophy without neural foraminal stenosis.C6/7: Degenerative disc disease with a posterior disc osteophyte complex causing mild canal stenosis. There is marked right and moderate left uncovertebral hypertrophy causing moderate to severe right and moderate left neural foraminal stenosis.C7/T1: No significant canal or neuroforaminal stenosis.Thoracic spine:There is a smooth, physiologic thoracic kyphotic curve. There is mild anterior wedging of the T12 vertebral body without significant internal T2 signal abnormality. There is endplate irregularity of multiple lower thoracic vertebra consistent with degenerative changes. A nonenhancing focus abutting the inferior endplate of T7 with high T1 and low T2 signal is suggestive of a degenerative Schmorl's node as well as herniated disc material within the superior endplate of T12 . Marrow signal intensity is slightly heterogeneous throughout the thoracic spine. There are no masses or abnormal enhancement. The spinal cord has a smooth contour and is without focal atrophy, edema, or myelomalacia. 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 no significant disc bulge or cord encroachment. T5/6 demonstrates no significant disc bulge or cord encroachment.T6/7 demonstrates a small central disc protrusion which causes mild flattening of the cord without internal signal abnormality.T7/8 demonstrates no significant disc bulge or cord encroachment. T8/9 demonstrates no significant disc bulge or cord encroachment. T9/10 demonstrates no significant disc bulge or cord encroachment.T10/11 demonstrates no significant disc bulge or cord 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. There is diffuse heterogeneity of the bone marrow. Endplate irregularity of the upper lumbar vertebral bodies compatible with degenerative disc disease. The conus is normal in signal and morphology and terminates at an appropriate level. There is a small linear focus of fat within the filum terminale from L2-L3. The visualized intra-abdominal and paraspinal contents are unremarkable. There is no abnormal enhancement.L1/2: Mild posterior disc bulge and ligamentum flavum hypertrophy cause mild canal stenosis. No significant neural foraminal stenosis.L2/3: No significant canal stenosis. Mild right greater than left ligamentum flavum hypertrophy with mild right foraminal stenosis.L3/4: Mild ligamentum flavum hypertrophy without significant canal or neural foraminal stenosis. L4/5: Bilateral ligamentum flavum hypertrophy with mild right neural foraminal stenosis. No significant canal stenosis.L5/S1: No significant canal or neural foraminal stenosis.
1. Multilevel spondylosis of the cervical, thoracic ,and lumbar spine with a small disc protrusion at T6/T7 causing mild flattening of the cord without intrinsic cord signal abnormality.2. Mild chronic anterior wedging of the T12 vertebral body.3. Small linear fatty lesion within the filum terminale.4. Diffuse bone marrow heterogeneity, however, without suspicious findings on STIR imaging. This is felt to represent a benign process; the differential diagnosis most likely includes anemia of any cause and/or chronic smoking.