New thoracic and lumbar spine pain. History of heart transplant in 2012. Thoracic:Thoracic vertebral body heights are maintained. Alignment is maintained. Bone marrow signal is benign with no suspicious lesions. There are minimal degenerative changes including mild facet arthropathy in the lower thoracic spine.Thoracic cord is normal in signal and contour. No significant spinal canal or neural foraminal stenosis is seen. Lumbar: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. The conus medullaris is normal in position.Minimal degenerative changes are seen, as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: Minimal disk bulge. No spinal canal or neural foraminal stenosis.L3-L4: Minimal disk bulge eccentric to the right with minimal right neural foraminal stenosis. No spinal canal or left neural foraminal stenosis.L4-L5: Minimal disk bulge. No spinal canal or neural foraminal stenosis.L5-S1: Minimal disk bulge. No spinal canal or neural foraminal stenosis. Minimal facet arthropathy in the lumbar spine. Paraspinous soft tissues are within normal limits.
Minimal degenerative changes in the thoracic and lumbar spine as described above within normal limits for age. Examination is otherwise unremarkable. No significant spinal canal or neural foramina stenosis. No compression fractures.