 Cervical spine MRI:Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The cervical and upper thoracic cord are normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: UnremarkableC3/4: UnremarkableC4/5: There is a small central paramedian disc protrusion which abuts the anterior cord surface without intrinsic cord signal abnormality. There is also slight ligamentum flavum thickening. There are no stenoses.C5/6: There is a small right paracentral disc protrusion which abuts the anterior cord surface without intrinsic cord signal abnormality. There is also slight ligamentum flavum thickening. There are no stenoses.C6/7: Slight ligamentum flavum thickening. There are no stenoses.C7/T1: Facet hypertrophy causes mild bilateral neural foraminal stenosis.Lumbar spine MRI:Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. There is a 1 cm well-circumscribed T2 homogeneously hyperintense focus within the left kidney most consistent with a simple renal cyst. The remaining visualized intra-abdominal and paraspinal contents are unremarkable.Disc desiccation with mild disc height loss is present from L2/3 through L5/S1.At L1/2 there is mild facet hypertrophy with no neural foraminal compromise or spinal stenosis, unchanged. At L2/3 there mild facet hypertrophy with no neural foraminal compromise or central spinal stenosis, unchanged. At L3/4 there is diffuse annular disc bulge, ligamentum flavum thickening, and moderate facet hypertrophy. There is new mild central, mild bilateral lateral recess, and mild bilateral neural foraminal stenosis.At L4/5 there is diffuse annular disc bulge containing a right posterolateral annular fissure, ligamentum flavum thickening, moderate left facet hypertrophy, and severe right facet hypertrophy. There is new mild bilateral lateral recess and mild bilateral neural foraminal stenosis. No central spinal stenosis. At L5/S1 there is diffuse annular disc bulge and mild bilateral facet hypertrophy. Mild left lateral recess stenosis and mild bilateral neural foraminal stenosis is unchanged. There is no central spinal stenosis.
1.C4/5: There is a small central paramedian disc protrusion which abuts the anterior cord surface without intrinsic cord signal abnormality. There are no stenoses.2.C5/6: There is a small right paracentral disc protrusion which abuts the anterior cord surface without intrinsic cord signal abnormality. There are no stenoses.3.C7/T1: Facet hypertrophy causes mild bilateral neural foraminal stenosis.4.L3/4: New mild central, mild bilateral lateral recess, and mild bilateral neural foraminal stenosis.5.L4/5: New mild bilateral lateral recess and mild bilateral neural foraminal stenosis. No central spinal stenosis. 6.L5/S1: Mild left lateral recess stenosis and mild bilateral neural foraminal stenosis is unchanged.