 Cervical spine:There are no fractures. The marrow signal is benign. The cervical cord is normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. An air-fluid level is noted in the right sphenoid sinus. Otherwise the visualized paraspinal contents are unremarkable.C2/3: Mild bilateral facet hypertrophy without stenosis.C3/4: Mild bilateral facet hypertrophy without stenosis.C4/5: Minimal posterior osteophyte disc complex, left uncinate hypertrophy, and mild bilateral facet hypertrophy. There is mild-to-moderate left neural foraminal stenosis.C5/6: Trace anterolisthesis C5 on C6, minimal posterior aspect disc complex, bilateral uncinate hypertrophy, marked left facet hypertrophy, and mild right facet hypertrophy. There is mild-to-moderate left neural foraminal stenosis.C6/7: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, and mild left facet hypertrophy. There is severe left and moderate right neural foraminal stenosis.C7/T1: Posterior osteophyte disc complex and bilateral uncinate hypertrophy without significant resulting stenosis.Thoracic spine:Marrow signal intensity is benign throughout. The spinal cord has a smooth contour and is without focal atrophy, edema, or myelomalacia. There are no masses.Schmorl's nodes are noted at multiple levels, primarily within the lower thoracic spine. There is mild superior endplate deformity of T3, T9, T10, and T12, with mild superior and inferior endplate deformity of T11. None of these demonstrate STIR signal hyperintensity to suggest acuity. Reactive endplate changes are noted at multiple levels, again predominantly within the lower thoracic spine.T1/2 demonstrates no significant disc bulge or cord encroachment.T2/3 demonstrates no significant disc bulge or cord encroachment. T3/4 demonstrates no significant disc bulge or cord encroachment. T4/5 demonstrates no significant disc bulge or cord encroachment. T5/6 demonstrates no significant disc bulge or cord encroachment.T6/7 demonstrates no significant disc bulge or cord encroachment. T7/8 demonstrates no significant disc bulge or cord encroachment. T8/9 demonstrates no significant disc bulge or cord encroachment. T9/10 demonstrates no significant disc bulge or cord encroachment.T10/11 demonstrates mild bulge and endplate spurring as well as facet hypertrophy. There is minimal left neural foraminal encroachment.T11/12 demonstrates trace anterolisthesis of T11 on T12 secondary to facet hypertrophy which mildly encroaches bilateral neural foramina.T12/L1 demonstrates no significant disc bulge or cord encroachment. Lumbar spine:Alignment is anatomic. There are no acute fractures or subluxations. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable.Small Schmorl's nodes are noted at multiple levels. Moderate anterior wedge deformity is noted of L1 with mild superior endplate deformity of L2 and L3. None of these demonstrate STIR abnormality to suggest acuity.Disc desiccation is present from L3 through S1 with Modic type III discogenic reactive endplate change prominently noted at L4/5 and to a lesser extent L5/S1.Fat is noted within the filum terminale, most evident posterior to the L3 level where demonstrates a nodular pathology.L1/2: Mild bilateral facet hypertrophy without stenosis.L2/3: Minimal disc bulge, slight ligamentum flavum thickening, and mild bilateral facet hypertrophy, without stenosis.L3/4: Mild disc bulge, ligamentum flavum thickening, moderate bilateral facet hypertrophy, with a small right facet effusion, without stenosis.L4/5: Prominent epidural fat, especially noted anteriorly, causes a moderate degree of central stenosis. Additionally, there is diffuse annular disc bulge, ligamentum flavum thickening, mild left facet hypertrophy, and moderate right facet hypertrophy. There is no significant neural foraminal stenosis. L5/S1: Mild disc bulge, ligamentum flavum thickening, mild left facet hypertrophy, moderate to severe right facet hypertrophy, and a tiny left facet effusion. There is no significant stenosis.
1.An air-fluid level is noted in the right sphenoid sinus.2.C4/5: Mild-to-moderate left neural foraminal stenosis.3.C5/6: Mild-to-moderate left neural foraminal stenosis.4.C6/7: Severe left and moderate right neural foraminal stenosis.5.T10/11 demonstrates minimal left neural foraminal encroachment.6.T11/12 demonstrates trace anterolisthesis of T11 on T12 secondary to facet hypertrophy which mildly encroaches bilateral neural foramina.7.Fat is noted within the filum terminale, most evident posterior to the L3 level where demonstrates a nodular pathology.8.L4/5: Prominent epidural fat, especially noted anteriorly, causes a moderate degree of central stenosis.9.Degenerative changes elsewhere throughout the cervical, thoracic, and lumbar spine are noted as described in detail above without significant resulting stenosis.10.Multilevel endplate deformities are noted in the thoracic and lumbar spine which are chronic in appearance.