 Vertebral body heights and alignment are maintained, better assessed on recent radiographs. There is severe susceptibility artifact, presumably related to metallic BB in the left prevertebral soft tissues, which severely distorts images of most of the cervical spine. No obvious cord signal abnormality or spinal canal stenosis in the most superior aspect of the upper cervical spine or visualized mid to distal cervical spine is appreciated.THORACIC SPINE
1. Severely limited, essentially nondiagnostic, evaluation of the cervical spine due to extensive susceptibility artifact related to metallic BB in the left prevertebral soft tissues.2. Prominent left paracentral disc protrusion at the left T7-T8 level which deforms the left ventral aspect of the cord. Minimal additional degenerative changes. There is no high-grade spinal canal stenosis at any thoracic level. No evidence of signal abnormality in the thoracic cord.