 CERVICAL SPINE: The vertebral column alignment is within normal limits. The vertebral body heights are preserved. There is loss of disc height with endplate degenerative changes throughout the cervical spine. There is mild heterogeneity of the marrow signal. The spinal cord displays normal signal and morphology. There is no abnormal osseous or intrathecal enhancement.C2-C3: No significant disc bulge, spinal canal or foraminal stenosis.C3-C4: Disc osteophyte complex, facet arthropathy and uncinate spurs, contributing to mild spinal canal stenosis and mild left foraminal stenosis. No significant right foraminal stenosis.C4-C5: No significant disc bulge, spinal canal or foraminal stenosis.C5-C6: Disc osteophyte complex, facet arthropathy and uncinate spurs, contributing to mild spinal canal stenosis and mild right foraminal stenosis.C6-C7: Disc osteophyte complex with superimposed central to left paracentral disc extrusion, facet arthropathy and uncinate spurs, contributing to impingement of the ventral cord, moderate spinal canal stenosis and mild left foraminal stenosis. No significant right foraminal stenosis. No definite abnormal cord signal.THORACIC SPINE: The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. There is mild heterogeneity of the marrow signal. There is mild disc bulging with endplate degenerative changes at T11-T12, but no significant spinal canal or foraminal stenosis at this or other thoracic levels. The spinal cord displays normal signal and morphology. There is fatty atrophy of the left paravertebral muscles.LUMBAR SPINE: There is straightening of the normal lumbar lordosis. The vertebral body heights are preserved. There is loss of disc height and disc dessication at L5-S1. There is mild heterogeneity of the marrow signal. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The distal spinal cord and conus are within normal limits with the conus terminating at the L1-L2 level. There is fatty atrophy of the paravertebral muscles. Partially imaged is a 2.5 cm T2 hyperintense lesion in the liver. There is also intra- and extrahepatic biliary ductal dilatation, with common bile duct measuring up to 11 mm, which may be seen in the post cholecystectomy state. Incidentally noted are scattered colonic diverticula.L1-L2: Bilateral facet arthropathy. No significant disc bulge, spinal canal or foraminal stenosis. L2-L3: Mild disc bulge, bilateral facet arthropathy, and thickening of the ligamentum flavum, contributing to mild bilateral foraminal narrowing. No significant spinal canal stenosis. L3-L4: Disc bulge, bilateral facet arthropathy, and thickening of the ligamentum flavum, contributing to mild bilateral foraminal narrowing. No significant spinal canal stenosis. L4-L5: Disc bulge, bilateral facet arthropathy, and thickening of the ligamentum flavum, contributing to mild bilateral foraminal narrowing. No significant spinal canal stenosis. L5-S1: Disc bulge, bilateral facet arthropathy, and thickening of the ligamentum flavum, contributing to mild right greater than left foraminal narrowing. No significant spinal canal stenosis.
1. Degenerative spondylosis of the cervical and lumbar spine, most prominent at C6-C7, with disc osteophyte complex and superimposed central to left paracentral disc extrusion, contributing to impingement of the ventral cord at C6-C7, moderate spinal canal stenosis and mild left foraminal stenosis. No definite abnormal cord signal.2. No definite evidence of an myelomatous lesion.