 CERVICAL SPINE: There is subtle T2 hyperintensity which is seen in the left lateral cervical cord at the C3-C4 level and in the right C5-C6 level (axial T2 images 19/34 and 11/34) and which also appears to be present on prior MRI from 12/6/2014. These are not definitive seen on the sagittal sequence. There is artifact related to the field inhomogeneity from dental hardware.The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is slightly heterogeneous but otherwise unremarkable. There is no evidence of intraspinal mass or abnormal enhancement. The paravertebral soft tissues are unremarkable. There is multilevel disc desiccation and loss of disc height as well as endplate degenerative changes. C2-C3: There is mild grade 1 anterolisthesis of C2 on C3 without significant spinal canal, or neural foraminal narrowing.C3-C4: There is mild grade 1 retrolisthesis of C3 on C4 as well as mild disc bulge with effacement of ventral thecal sac. There is mild bilateral neural foramen stenosis.C4-C5: No significant spinal canal, or neural foraminal narrowing.C5-C6: There is a small central disc osteophyte complex without significant spinal canal, or neural foraminal narrowing.C6-C7: There is a small central disc osteophyte complex without significant spinal canal, or neural foraminal narrowing.C7-T1: No significant spinal canal or neural foraminal narrowing.THORACIC SPINE: There are unchanged chronic compression deformities involving the T7 vertebral body (anterior wedging with 40% height loss) and the superior endplate of T5 (without significant height loss). The vertebral column alignment is within normal limits. The disc space heights are preserved. There is mild thoracic spondyloarthropathy with multilevel disc desiccation and mild posterior ligamentous thickening. There is no significant spinal canal or neural foramen stenosis. The vertebral bone marrow signal is unremarkable. The spinal cord displays normal signal and morphology. There is no evidence of intraspinal mass or abnormal enhancement. The paravertebral soft tissues are unremarkable.
1.There is subtle T2 hyperintensity which is seen in the left lateral cervical cord at the C3-C4 level and at the right lateral C5-C6 level (axial T2 images 19/34 and 11/34). These also may be present on prior MRI from 12/6/2014. Although artifact from dental hardware makes evaluation difficult, these may possibly represent true lesions and etiologies such as old inflammatory or demyelinating lesions may be considered. No abnormal enhancement, cord swelling, or cord masses in the spinal cord.2.Unchanged mild cervical degenerative disease that is relatively worse at the C3-C4 level where a grade 1 retrolisthesis and a disc bulge result in mild ventral thecal sac effacement and mild bilateral neural foramen stenosis.3.Mild thoracic degenerative disease without significant spinal canal or neural foramen stenosis.4.Chronic unchanged mild compression deformities of T5 and T7 vertebral bodies.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.