 C-Spine MRI:Craniocervical junction is intact. There is slight straightening of the cervical spine. The alignment is otherwise maintained. There is preservation of the vertebral body heights. There is somewhat heterogeneous bone marrow secondary to degenerative changes but there are no worrisome focal marrow signal abnormalities to indicate myelomatous lesions. There is variable loss of disc height most prominently involving the C5-6 level. There are disc osteophyte complexes involving the C3-4, C4-5 and C5-6 levels and at most mild left neuroforaminal narrowing at C4-5 and C5-6. There is no significant spinal canal compromise and the spinal cord is of normal caliber and signal.T-Spine MRI: Examination of the thoracic spine is limited by motion.The thoracic spine is in normal alignment, with a normal thoracic kyphosis. The vertebral body heights are well maintained. There is multilevel degenerative disc height loss and endplate degenerative signal change most notably involving T4-5 and T5-6. Endplate edema is also demonstrated at T7-8. There are no worrisome focal marrow signal abnormalities to indicate myelomatous lesions. The spinal cord is of normal caliber and signal.The upper thoracic levels from T1-T2 through T3-T4 are unremarkable.At T4-5 through T7-8, there are small disc bulges without neural foraminal narrowing or spinal canal compromise.At T10-11, there is a prominent disc bulge asymmetric and ligamentum flavum hypertrophy which contributes to moderate left and mild right neuroforaminal narrowing. There is mild to moderate spinal canal stenosis at this level.At T11-12 is a minimal disc bulge and minimal facet hypertrophy without neural foraminal narrowing or spinal canal compromise.L-Spine MRI: There is lordotic curvature of the lumbar spine with anatomic alignment. There is preservation of the vertebral body heights. The disc spaces demonstrate variable mild disc desiccation most prominently involving the lower lumbar levels. No worrisome focal marrow signal abnormality to suggest myelomatous lesions is appreciated. The distal spinal cord and conus are within normal limits with the conus terminating at the L1 level. Multiple renal cystic lesions are partially visualized.At T11-12 and T12-L1 are minimal disc bulges and minimal facet hypertrophy without neural foraminal narrowing or spinal canal compromise.At L2-L3, there is a mild disc bulge, facet arthropathy and ligamentum flavum thickening. There is mild spinal canal stenosis and mild foraminal narrowing.At L3-4, there is a small disc bulge, facet arthropathy and ligamentum flavum thickening which results in mild bilateral neural foraminal narrowing but no significant spinal canal stenosis.At L4-5, there is a small disc bulge, moderate facet arthropathy, and ligamentum flavum thickening, with mild spinal canal stenosis but no significant foraminal narrowing.At L5-S1, there is a minimal disc bulge, moderate facet arthropathy and right greater than left, and ligamentum flavum thickening, which contributes to moderate right and mild left neural foraminal narrowing. There is no significant spinal canal stenosis.
1. No evidence of osseous myelomatous disease.2. Multilevel spondylotic changes with at most moderate spinal canal stenosis and scattered areas of mild to moderate neural foraminal narrowing.