 There is no evidence of tumors. There is diffuse fatty bone marrow. The cervical spine is in normal alignment. The vertebral body heights are well-maintained. The spinal cord is of normal caliber and signal. At C2-C3, there is no evidence for neural foraminal or spinal stenosis. At C3-C4, there is a small posterior disc osteophyte complex causing mild effacement of the ventral thecal sac without neuroforaminal or spinal canal stenosis. At C4-C5, there is a right paracentral posterior disc osteophyte complex causing moderate right and mild left neuroforaminal stenosis. There is mass effect on the right lateral anterior spinal cord without intrinsic cord signal abnormality. At C5-C6, there is loss of intervertebral disc space with a small posterior disc osteophyte complex, as well as hypertrophy of the ligamentum flavum causing moderate left and mild right neuroforaminal stenosis, as well as mild spinal canal stenosis. At C6-C7, there is loss of intervertebral disc space with a posterior disc osteophyte complex and hypertrophy of the ligamentum flavum causing considerable spinal stenosis at this level without associated cord signal abnormality.C7-T1, there is no evidence for neural foraminal or spinal stenosis.THORACIC SPINE
1. No gross evidence of multiple myeloma involving the cervical, thoracic, or lumbar spine, although assessment is somewhat limited without intravenous contrast. However, an incompletely imaged left iliac bone mass is compatible with multiple myeloma. Please refer to the separate pelvis MRI report for additional details.2. Multilevel degenerative changes of the cervical spine as well as lumbar spine, with severe spinal stenosis at C6-C7 and moderate spinal stenosis at L3-L4.