 CERVICAL SPINE:Alignment is normal. The marrow signal is benign. The cervical and upper thoracic cord is normal in signal without abnormal enhancement. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. There is diffuse abnormal T2 signal and enhancement of the visualized paraspinal musculature as well as pharyngeal musculature. C2/3: No significant canal stenosis or neural foraminal stenosis.C3/4: Mild disc bulge with mild canal stenosis. Mild uncovertebral hypertrophy bilaterally causes mild bilateral neural foraminal stenosis.C4/5: No significant canal stenosis. Mild left uncovertebral hypertrophy causes mild left neural foraminal stenosis.C5/6: No significant canal stenosis or neural foraminal stenosis.C6/7: No significant canal stenosis or neural foraminal stenosis.C7/T1: No significant canal stenosis or neural foraminal stenosis.LUMBAR SPINE:Alignment is anatomic. There are no fractures or subluxations. Mild degenerative changes affect the lumbar spine with anterior osteophyte formation and reactive changes. The marrow signal is benign. A small T1 and T2 hyperintense lesion in the posterior L1 vertebral body likely represents a hemangioma. The conus is normal in signal and morphology and terminates at an appropriate level. There is diffuse increased T2 signal and enhancement within the visualized musculature. The visualized intra-abdominal are unremarkable.T12/L1: No significant canal stenosis or neural foraminal stenosis.L1/2: No significant canal stenosis. Minimal ligament flavum hypertrophy without significant neural foraminal stenosis.L2/3: No significant canal stenosis. Moderate ligamentum flavum and facet hypertrophy without significant neural foraminal stenosis.L3/4: No significant canal stenosis. Mild ligamentum and facet hypertrophy without significant neural foraminal stenosis.L4/5: No significant canal stenosis. Mild ligamentum and facet hypertrophy causing mild neural foraminal stenosis bilaterally.L5/S1: No significant canal or neural foraminal stenosis.
1. No abnormal enhancement to suggest discitis/osteomyelitis or evidence of an epidural abscess in the cervical or lumbar spine. 2. Diffuse muscle enhancement and abnormal T2 signal consistent with inflammation and the patient's history of myositis. 3. Mild multilevel degenerative changes of the cervical and lumbar spine.