Male, 64 years old, with neck pain and a mass under the inferior border of both scapulae. Cervical:The cervical lordosis is straightened. There is a trace retrolisthesis of C5 relative to C6. Alignment is otherwise unremarkable.Vertebral body height and morphology are within normal limits. No concerning marrow replacement or marrow edema is seen.The visualized spinal cord demonstrates normal signal intensity and morphology except as discussed below. No epidural abnormalities are suspected.Incidental note is made of opacification of the right mastoid air cells.C2-3: Left greater than right facet degeneration. No significant spinal canal stenosis. Mild left foraminal narrowing. C3-4: Left greater than right facet degeneration. Disc osteophyte formation asymmetric to the left. Mild generalized spinal canal stenosis without significant cord deformation. Severe left and mild right foraminal narrowing. C4-5: Bilateral facet degeneration. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. C5-6: Posterior disc-osteophyte complex formation with a right paracentral focal component which mildly impinges upon the cord. There is a moderate generalized spinal canal stenosis. Severe right and moderate left foraminal narrowing. C6-7: Bilateral facet degeneration. Posterior disc-osteophyte complex formation. Mild generalized spinal canal stenosis. Moderate right foraminal narrowing. C7-T1: Bilateral facet degeneration. No significant spinal canal or foraminal stenosis. Thoracic:Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No concerning marrow replacement or marrow edema is seen.The visualized spinal cord demonstrates normal signal intensity and morphology. No epidural abnormalities are detected.Incidental note is made of bilateral renal cysts. Please note that the scapulae are not adequately included within the field-of-view of this examination for assessment.Disc degeneration is seen in the thoracic spine primarily in the form of loss of disc height and T2 signal intensity. No significant disc bulging or disc herniations are detected.At T4-5, bulky facet and ligamentum flavum thickening is seen causing effacement of the right dorsal thecal sac but no cord impingement.At T6-7, right facet and ligamentum flavum thickening is also seen causing effacement of the right dorsal thecal sac but no cord impingement.At T7-8, bilateral facet and ligamentum flavum thickening is seen right more than left causing effacement of the dorsal thecal sac but no cord impingement.At T9-10, bilateral facet and ligamentum flavum thickening is seen causing mild effacement of the dorsal thecal sac.Lumbar:Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No concerning marrow replacement or marrow edema is observed.The distal spinal cord, conus and nerve roots of cauda equina are unremarkable. No epidural abnormalities are suspected.L1-2: Unremarkable. L2-3: Minimal disc bulging. No significant spinal canal or foraminal stenosis. L3-4: Mild facet degeneration. Minimal disc bulging. No significant spinal canal or foraminal stenosis. L4-5: Moderate facet degeneration. Minimal bulging disc. No significant spinal canal or foraminal stenosis. L5-S1: Moderate facet degeneration. Mild bulging disc with a small superimposed central protrusion and right paracentral annular fissure. No significant spinal canal or foraminal stenosis.
1.Moderately advanced degenerative findings are seen in the cervical spine. At C3-4 there is a severe left foraminal narrowing. At C5-6, posterior disc-osteophyte complex formation results in a moderate generalized spinal canal stenosis and mild impingement upon the cord as well as a severe right foraminal narrowing.2.Relatively mild degenerative findings are seen in the thoracic spine predominantly affecting the facets and ligamentum flavum. No high-grade spinal canal stenosis is seen.3.Minimal degenerative disease is seen in the lumbar spine without significant spinal canal or foraminal stenosis.4.Please note that the scapulae are not adequately assessed on this examination. If evaluation of the scapulae and chest wall is desired, MRI of the chest would provide appropriate coverage.