 The cervical spine is in normal alignment, with a normal cervical lordosis. The vertebral body heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. There is no pathological enhancement.Mild degenerative changes are seen including disc bulges and uncovertebral hypertrophy at the C5-C6 and C6-C7 levels. There is mild effacement of the thecal sac at the C5-C6 and C6-C7 levels without significant spinal canal stenosis overall. There is mild to moderate bilateral C5-C6 neural foraminal stenosis and mild bilateral C6-C7 neural foraminal narrowing. Remainder of the cervical spinal canal and neural foramina are patent. These findings are unchanged.THORACIC SPINE
1.There is no mass or abnormal enhancement within the cervical, thoracic, or lumbar spine and there is no compression.2.Stable spondylitic changes as described in detail above worse at C5/6 with there is mild to moderate bilateral neural foraminal stenosis.3.Persistent, small bilateral pleural effusions.