 The vertebral column alignment is within normal limits. The vertebral body heights are preserved. The vertebral bone marrow signal is unremarkable. The conus terminates at L1-L2. The paravertebral soft tissues are unremarkable. There is a grossly unchanged 1 cm hyperintense lesion within the spinal cord at the T11 level that is only partially imaged on axial sequence. There is multilevel disc desiccation, loss of disc height, Schmorl's node formation, endplate degenerative change that is most prominent at the L1-L4 levels with prominent dorsal epidural fat.L1-L2: There is an unchanged disc bulge eccentric to the right as well as mild bilateral facet arthropathy and ligamentum flavum thickening with mild spinal canal and mild right neural foraminal stenosis similar to prior. L2-L3: There is a moderate disc bulge as well as bilateral facet arthropathy and ligamentum flavum thickening. These findings result in unchanged mild to moderate spinal canal stenosis and mild bilateral foraminal stenosis. There is prominence of the epidural fat.L3-L4: There is a moderate disc bulge with a superimposed central disc extrusion as well as mild bilateral facet arthropathy and ligamentum flavum thickening that results in unchanged moderate to severe spinal canal stenosis, moderate left, and mild right neural foramen stenosis. There is prominence of the epidural fat.L4-L5: There is a moderate disc bulge with a superimposed central disc protursion as well as mild bilateral facet arthropathy and ligamentum flavum thickening. These findings result in unchanged moderate spinal canal stenosis and mild bilateral neural foramen stenosis. There is prominence of the epidural fat.L5-S1: There is a mild disc bulge as well as a superimposed left paracentral disc extrusion and inferior migration with mild facet arthropathy and ligamentum flavum thickening bilaterally. These findings result in unchanged mild spinal canal stenosis as well as narrowing of the left lateral recess without significant neural foraminal stenosis. There is prominence of the epidural fat. No significant foraminal stenosis.
1.Unchanged T2 hyperintense spinal cord lesion at the T11 level likely represents a demyelinating lesion given the patient's brain imaging findings.2.Unchanged lumbar degenerative changes compared to 5/30/2014 as detailed above with varying degrees of spinal canal stenosis (worst at L3-4) related to disc herniations and epidural lipomatosis. There is also mild foraminal stenosis as detailed above.