 Cervical spine: There is congenital fusion of C4-C6 and anterior fusion hardware fusing C5-C6. There is no evidence of hardware complication. There is exaggerated lordosis of the cervical spine with apex at C5. There are no fractures or subluxations. The marrow signal is benign. There is no definitive evidence of myelopathy. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: There is moderate disc disease with a disc osteophyte complex encroaching the left lateral recess. There is significant left neuroforaminal narrowing and moderate right neuroforaminal narrowing. There is mild central spinal canal narrowing.C3/4: There is no significant spinal canal stenosis. There is bilateral mild neuroforaminal narrowing.C4/5: There is no significant spinal canal stenosis. There is moderate bilateral neuroforaminal narrowing.C5/6: There is uncovertebral hypertrophy without significant spinal canal narrowing. There is moderate right and mild to moderate left neuroforaminal narrowing.C6/7: There is no significant spinal canal stenosis. There is bilateral facet hypertrophy and resultant significant bilateral neuroforaminal narrowing.C7/T1: No significant spinal canal or neuroforaminal narrowing.Thoracic spine: The thoracic spine is in normal alignment, with a normal thoracic kyphosis. There are multilevel degenerative changes in the thoracic spine with multiple level disc dessication. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. There is a partially visualized left renal cyst that measures up to 7 cm in AP dimension and was present on prior CT lumbar spine 4/23/2003.T1/2: No significant spinal canal stenosis. There is mild left neuroforaminal narrowing.T2/3: No significant spinal canal stenosis. There is mild right neuroforaminal narrowing.T3/4: There is a shallow central disc bulge without significant stenosis. There is uncovertebral hypertrophy without significant neuroforaminal narrowing.T4/5: No significant spinal canal stenosis. Mild left neuroforaminal narrowing.T5/6: No significant spinal canal stenosis. Mild left neuroforaminal narrowing.T6/7: No significant spinal canal stenosis or neuroforaminal narrowing.T7/8: No significant spinal canal stenosis. Mild left neuroforaminal narrowing.T8/9: No significant spinal canal or neuroforaminal stenosis.T9/10: No significant spinal canal or neuroforaminal stenosis.T10/11: No significant spinal canal stenosis. Moderate to severe right neuroforaminal narrowing.T11/12: No significant spinal canal stenosis. There is mild to moderate left neuroforaminal narrowing.T12/L1: No significant spinal canal stenosis. There is significant right neuroforaminal narrowing.There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the thoracic spine.
1.Multilevel degenerative changes in the cervical and thoracic spine with mild spinal canal stenosis at C2/C3 and severe neuroforaminal narrowing at multiple levels.2.Partially visualized left renal cyst measures up to 7 cm in AP dimension and was present on prior CT lumbar spine 4/23/2003.