 Thoracic MRI:The thoracic spine is in normal alignment. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. Minimal disc bulges are noted at the T7-8, T9-T10 and T10-11 levels. There is some STIR signal abnormality most noted at the inferior endplate of T9 and superior endplate of T10 indicating endplate degeneration. There is also some STIR signal abnormality along the anterior inferior endplate of T8 and superior anterior endplate of T9. There is ligamentum flavum thickening at the T9-10 and T11-T12 but no neuroforaminal or central canal stenosis.Lumbar MRI:The vertebral column alignment is within normal limits. The vertebral body heights are preserved but the L5-S1 disc space is decreased and there are endplate degenerative changes at the L5-S1 level. There is also multilevel disc desiccation involving the lower lumbar spine. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. T12-L1: There is no significant compromise to spinal canal or neural foramina.L1-L2: There is no significant compromise to spinal canal or neural foramina.L2-L3: There is a mild disc bulge and mild facet arthropathy which causes mild bilateral neural foraminal stenosis. No central canal stenosis.L3-L4: There is a mild left greater than right disc bulge and mild facet arthropathy which causes moderate left neural foraminal and mild central canal stenosis. No right neuroforaminal stenosis.L4-5: There is a mild disc bulge and mild facet arthropathy which causes mild bilateral neuroforaminal stenosis along with left lateral recess effacement. There is mild to moderate central canal stenosis.L5-S1: There is a mild disc bulge and significant facet arthropathy which causes moderate transverse dimension stenosis of the spinal canal. There is also moderate to severe right and moderate left neural foraminal stenosis
1.Within the thoracic spine there are mild degenerative changes, including at the T9-T10 level. At this level there is mild endplate degeneration but no central spinal canal stenosis or evidence of a compression fracture. 2.Within the lumbar spine there are multilevel degenerative changes especially involving the lower lumbar spine. This is most prominent at the L5-S1 level where there is moderate spinal canal stenosis and moderate to severe neural foraminal stenosis.