 Examination is limited by motion artifact. The cervical lordosis is preserved. There is mild retrolisthesis of C4 on C5 and C5 on C6. Mild inferior endplate compression deformity with low T1/T2 signal involving the C5 vertebral body appears slightly progressed since prior examination. Diffuse heterogeneous marrow signal is demonstrated throughout the cervical spine. The thoracic kyphosis is preserved and the thoracic vertebral bodies appear normally aligned. Diffusely heterogeneous marrow signal of the thoracic spine is again seen with multiple areas of low T1/T2 signal. Multiple thoracic vertebral body compression deformities are demonstrated. Kyphoplasty changes are demonstrated from T10 to L1 levels. Anterior wedging of the T6 vertebral body appears similar to prior examination. Compression deformities of the T11 and T12 vertebral bodies also appear similar to prior examination. There is mild progression of compression involving the T7 and T8 vertebral bodies.The lumbar lordosis lordosis is preserved. The lumbar vertebral bodies are normally aligned. Moderate loss of intervertebral disc space at L2-3, L4-5, and L5-S1 levels are seen. Multifocal areas of low T1 signal are again demonstrated within the lumbar spine. Compression deformity involving the L1 vertebral body status post kyphoplasty changes appear slightly worse since prior examination. The spinal cord demonstrates normal caliber and signal intensity. The conus terminates at L2.Within the limitations of extensive motion artifact, no significant edema or enhancement is visualized throughout the spine.Cervical spine:C2-3: Advanced left facet degenerative changes are demonstrated with significant left neural foraminal stenosis however without central spinal stenosis.C3-4: No significant disc herniation, neuroforaminal stenosis, or spinal stenosis noted at this level.C4-5: There is a small posterior disc osteophyte complex and hypertrophy of the ligamentum flavum resulting in moderate central stenosis and bilateral neuroforaminal stenosis.C5-6: There is loss of intervertebral disc space with small posterior disc osteophyte complex formation and hypertrophy of the ligamentum flavum causing mild to moderate spinal stenosis and moderate bilateral neuroforaminal stenosis.C6-7: There is a posterior disc osteophyte complex formation causing mild bilateral neural foraminal stenosis without central stenosis.C7-T1: Mild diffuse disc bulge with mild bilateral neuroforaminal narrowing. Thoracic spine:T1-2: There is a minimal diffuse disc bulge without significant spinal or neuroforaminal stenosis.T2-3: There is a disc bulge with superimposed central protrusion causing mild to moderate central spinal stenosis without significant neuroforaminal stenosis.T3-4: There is a diffuse disc bulge without significant spinal or neuroforaminal stenosis.T4-5: No significant disc herniation or neuroforaminal stenosis is noted at this level.T5-6: No significant disc herniation, spinal or neuroforaminal stenosis is noted at this level.T6-7: No significant disc herniation, spinal or neuroforaminal stenosis is noted at this level.T7-8: No significant disc herniation, spinal stenosis or neuroforaminal stenosis is noted at this level.T8-9: There is a central disc protrusion resulting in moderate central spinal stenosis without significant neuroforaminal stenosis.T9-10: There is a disc bulge with a left paracentral accentuated component as well as hypertrophy of the ligamentum flavum resulting in moderate left lateral recess stenosis.T10-11: There is mild spinal canal stenosis predominantly on the basis of hypertrophic degenerative change of the ligamentum flavum without significant disc herniation.T11-12: No significant disc herniation or spinal canal stenosis is noted at this level.T12-L1: There is a diffuse disc bulge with hypertrophy of the ligamentum flavum causing mild spinal canal and moderate bilateral neuroforaminal stenosis.Lumbar spine:L1-2: There is a disc bulge resulting in mild central stenosis without significant neuroforaminal stenosis.L2-3: There is a diffuse disc bulge and hypertrophic degenerative changes of the ligamentum flavum/posterior facets resulting in moderate central and bilateral neuroforaminal stenosis.L3-4: There is a diffuse disc bulge resulting in moderate spinal canal and bilateral neuroforaminal stenosis.L4-5. There is a disc bulge with right paracentral protrusion resulting in mild to moderate right neuroforaminal stenosis without significant spinal or left neural foraminal stenosis.L5-S1: There is a diffuse disc bulge and hypertrophic degenerative changes of the ligamentum flavum and facets resulting in mild bilateral neuroforaminal stenosis.
1. There is redemonstration of heterogeneous marrow signal without evidence for enhancing or edematous lesions to suggest active disease.2. There is mild progression of compression deformities involving the T7, T8, L1, and probably L4 vertebral bodies. Additional compression deformities appears similar to prior examination.3. Multifocal degenerative changes throughout the spine as described above.