Numbness and pain in the legs with upgoing toes on examination. Examination is limited by patient motion.CERVICAL SPINE:Sagittal alignment is notable for partial straightening which may relate to patient positioning. Disc desiccation is present at all levels. There is minimal disc height loss at C5-C6 and C6-C7, which is associated with minimal ventral indentations of the thecal sac as described below. There is no abnormal signal within the spinal cord within the limits of mild motion degradation. The vertebral bodies are preserved in height. There is no suspicious marrow signal abnormality. Following contrast administration, there is no abnormal contrast enhancement.C2-C3: Very minimal disc bulge but no spinal canal or foraminal stenosis.C3-C4 and C4-C5: Eccentric to the right disc-osteophyte complex and uncovertebral arthropathy. No significant spinal canal or foraminal stenosis.C5-C6: Disc-osteophyte complex is associated with a narrow based right paracentral disc protrusion/osteophyte which minimally indents the spinal cord without signal abnormality. There is no significant foraminal stenosis.C6-C7: Disc-osteophyte complex is mildly eccentric to the left mildly narrowing the spinal canal and mildly narrowing the left neural foramen.C7-T1: No spinal canal or neural foraminal stenosis. Small left neural foraminal cystic structure on the left likely represents an incidental perineural cyst.THORACIC SPINE:Sagittal alignment is anatomic. An incompletely imaged right ward convex curvature in the lower thoracic spine is present. The vertebral bodies are preserved in height. Fat-containing lesions in T6, T7 and T10 vertebral bodies are probably hemangiomas. There is no suspicious marrow lesion. There is disc desiccation associated with small disc bulges indenting the ventral aspect of thecal sac as described above. There is no significant spinal canal stenosis. The thoracic spinal cord shows normal signal and shape. The conus medullaris is imaged and is normal.T1-T2: Small left foraminal spurring causes mild left foraminal stenosis. There is no spinal canal or right foraminal stenosis.T2-T3: No spinal canal or foraminal stenosis.T3-T4: Minimal central disc protrusion causing very shallow ventral indentation thecal sac. No foraminal stenosis.T4-T5, T5-T6 and T6-T7: No spinal canal or foraminal stenosis.T7-T8 and T8-T9: Small central disc protrusion causing very shallow ventral indentation of the thecal sac. No foraminal stenosis.T9-T10: No disc herniation. Moderate facet arthropathy. No central canal stenosis. Minimal foraminal stenosis.T10-T11: There is suggestion of a small right foraminal disc protrusion which along with facet arthropathy moderately narrow the right neural foramen. There is no spinal canal or left foraminal stenosis.T11-T12: Minimal disc bulge and right more than left facet arthropathy. There is mild bilateral foraminal stenosis. No spinal canal stenosis.T12-L1: No spinal canal or foraminal stenosis. Mild left more than right facet arthropathy.
1.Examination is motion degraded, which limits evaluation for subtle abnormalities. No abnormal cord signal or enhancement however is appreciated. 2.Degenerative changes in the cervical spine with mild spinal canal stenosis at the C5-C6 and C6-C7 levels. No higher grade spinal canal stenosis.3.Mild multilevel degenerative changes throughout the thoracic spine. There is mild deformity of the left ventral aspect of the cord at T8-T9 related to a small disc protrusion without cord signal abnormality. No high-grade spinal canal stenosis at any level in the thoracic spine or cord signal abnormality. Please see additional details above.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.