Pain and paresthesia. Cervical spine: Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is benign.The cervical spinal cord has normal signal characteristics and overall morphology.Mild developmental spinal canal narrowing is noted with superimposed degenerative changes in the cervical spine as described below:C2-3: There is left-sided facet arthropathy and uncovertebral hypertrophy which contributes to mild left foraminal stenosis. No significant spinal canal or right neural foraminal narrowing.C3-4: Small disc osteophyte complex which effaces the ventral thecal sac and contacts the ventral cord. There is at most mild spinal canal stenosis at this level. Neural foramina are patent. C4-5: Minimal central disc osteophyte complex. No significant compromise to the spinal canal or neural foramina.C5-6: No significant compromise to the spinal canal or neural foramina.C6-7: No significant compromise to the spinal canal or neural foramina.C7-T1: No significant compromise to the spinal canal or neural foramina.Postcontrast sequences are motion degraded. There is however no abnormal enhancement within the spinal canal. There is enhancement involving the disc and endplates at the C2-C3 level which is likely on a degenerative basis. The vertebral artery flow voids appear to be intact. There is a partially imaged T2 hyperintense structure in the left upper paratracheal region which measures at least 2.9 x 3.7 cm in the axial plane and up to 4.5 cm in the craniocaudal dimension cm, possibly a large thyroid nodule but incompletely assessed.Lumbar spine: Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. Edematous marrow signal changes are noted at the L3-L4 level including the disc and adjacent endplates. The conus medullaris is normal in position.Multilevel degenerative changes are seen, as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis. Mild bilateral facet arthropathy.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis. Mild bilateral facet arthropathy.L3-L4: There is mild disc bulge and bilateral facet arthropathy. There is no significant spinal canal stenosis. There is mild to moderate left and mild right neural foraminal narrowing. No significant spinal canal narrowing.L4-L5: There is mild disc bulge and bilateral facet arthropathy, greater on the right. There is no significant spinal canal stenosis. There is mild bilateral neural foraminal stenosis.L5-S1: No significant disc disease. No spinal canal or neural foraminal stenosis. Bilateral facet arthropathy.Paraspinous soft tissues are within normal limits.
1. There are mild multilevel degenerative changes in the cervical spine as described above without significant spinal canal stenosis or cord signal abnormality. No abnormal enhancement.2. Mild degenerative changes in the lumbar spine. There is no significant spinal canal stenosis at any level. There is neural foraminal narrowing at the L3-L4 and L4-L5 levels as described above. 3. Edema and enhancement involving the C2-C3 and L3-L4 endplates which is likely on a degenerative basis.4. Partially imaged structure measuring approximately 2.9 x 3.7 x 4.5 cm in the left upper paratracheal region, possibly a large thyroid nodule but inadequately assessed. Consider ultrasound for further visualization.