 Scoliosis is better demonstrated on prior x-ray. There is diffuse heterogeneous marrow throughout the thoracic and lumbar spines without significant correlative abnormality on sagittal STIR imaging.Thoracic spine:The vertebral body heights and disc spaces are maintained. A benign hemangioma is present within the T6 vertebral body. Discogenic reactive endplate changes are noted at sporadic levels. The spinal cord is without focal atrophy, edema, or myelomalacia. Incompletely characterized T2 hyperintense foci are present within bilateral thyroid lobes which correlates with previously demonstrated bilateral thyroid nodules.C7/T1: Posterior osteophyte disc complex, slight ligamentum flavum thickening, with bilateral neural foraminal encroachment.T1/2: Posterior osteophyte disc complex and slight ligamentum flavum thickening. There is bilateral neural foraminal encroachment.T2/3: Posterior osteophyte disc complex and slight ligamentum flavum thickening. There is bilateral neural foraminal encroachment.T3/4: Posterior osteophyte disc complex without cord encroachment or stenosis. T4/5: No significant disc bulge or cord encroachment. T5/6: No significant disc bulge or cord encroachment. Ligamentum flavum thickening partially efface the posterior CSF space without significant resulting stenosis.T6/7: No significant disc bulge or cord encroachment. T7/8: No significant disc bulge or cord encroachment. Ligamentum flavum thickening partially efface the posterior CSF space without significant resulting stenosis.T8/9: Posterior osteophyte disc complex and slight ligamentum flavum thickening. There is bilateral neural foraminal encroachment.T9/10: No significant disc bulge or cord encroachment.T10/11: Posterior osteophyte disc complex and ligamentum flavum thickening. There is bilateral neural foraminal encroachment.T11/12: Trace anterolisthesis T11 on T12, posterior osteophyte disc complex and ligamentu flavum thickening. There is mild central stenosis and bilateral neural foraminal encroachment.T12/L1: Small left paracentral disc protrusion, superimposed disc bulge, ligamentum flavum thickening, and mild bilateral facet hypertrophy. There is borderline central stenosis.Lumbar spine:There are no fractures. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable.L1/2: Asymmetric bulge to the left, ligamentum flavum thickening, and mild bilateral facet hypertrophy. There is mild left lateral recess stenosis.L2/3: Asymmetric bulge to the left, likely flavum thickening, mild to moderate left facet hypertrophy, and mild right facet hypertrophy. There is mild central, mild bilateral lateral recess, moderate left neural foraminal, and mild right neural foraminal stenosis.L3/4: Diffuse annular disc bulge, ligamentum flavum thickening, and mild bilateral facet hypertrophy. There is mild central, mild bilateral lateral recess, and mild to moderate bilateral neural foraminal stenosis.L4/5: Trace anterolisthesis L4 on L5, diffuse annular disc bulge, ligamentum flavum thickening, and mild to moderate bilateral facet hypertrophy. There is mild bilateral lateral recess and mild to moderate bilateral neural foraminal stenosis.L5/S1: Mild disc bulge and minimal bilateral facet hypertrophy without stenosis.
There is diffuse heterogeneous marrow throughout the thoracic and lumbar spines without significant correlative abnormality on sagittal STIR imaging.Thoracic spine:1.There is diffuse heterogeneous marrow throughout the thoracic and lumbar spines without significant correlative abnormality on sagittal STIR imaging. This appearance is benign yet indicates a diffuse marrow process. The differential diagnosis would most likely include anemia many causes or chronic smoking.2.Diffuse multilevel thoracic spondylotic changes without significant resulting stenoses as described in detail on a level by level basis above.3.L1/2: Mild left lateral recess stenosis.4.L2/3: Mild central, mild bilateral lateral recess, moderate left neural foraminal, and mild right neural foraminal stenosis.5.L3/4: Mild central, mild bilateral lateral recess, and mild to moderate bilateral neural foraminal stenosis.6.L4/5: Mild bilateral lateral recess and mild to moderate bilateral neural foraminal stenosis.