 Thoracic spine:Thoracic alignment is grossly anatomic. There is a mild superior endplate compression deformity of the T8 vertebral body without increased STIR signal, which also appears present on a prior thoracic spine radiograph. Otherwise vertebral body heights and disc spaces are preserved. Marrow signal intensity is benign throughout. T1/2 demonstrates no significant disc bulge or cord encroachment.T2/3 demonstrates minimal posterior disc bulge without canal stenosis. Facet hypertrophy contributes to moderate left and mild right neural foraminal stenosis. T3/4 demonstrates a small central disc protrusion with slight anterior flattening of the cord, but no cord signal abnormality or significant canal stenosis. There is facet hypertrophy without neural foraminal stenosis. T4/5 demonstrates no significant disc bulge or cord encroachment. T5/6 demonstrates a left paramedian disc protrusion which effaces the thecal sac and impinges on the left aspect of the spinal cord without underlying spinal cord signal abnormality. T6/7 demonstrates a small left paramedian disc bulge which causes minimal flattening on the left aspect of the spinal cord without underlying spinal cord signal abnormality. T7/8 demonstrates no significant disc bulge or cord encroachment. T8/9 demonstrates a small central disc protrusion and left posterior disc bulge which causes mild flattening of the left aspect of the spinal cord without underlying spinal cord signal abnormality.T9/10 demonstrates a small bilateral paracentral disc protrusion without spinal canal stenosis. T10/11 demonstrates no significant disc bulge or cord encroachment. T11/12 demonstrates a mild left paracentral disc protrusion without spinal canal stenosis. T12/L1 demonstrates central disc extrusion extending 6 mm into the spinal canal and above and below the disc level over a craniocaudal distance of 3.0 cm. There is mild spinal canal stenosis at this level. There is mild ligamentum flavum and facet hypertrophy.There is a disc-osteophyte complex at C6/C7 without significant spinal canal stenosis. A single sagittal survey image of the cervical spine also demonstrates additional spondylytic changes of the cervical spine; if the patient has clinical symptoms that can be correlated to the cervical spine, then dedicated imaging can be considered. There is a left simple renal cyst. Lumbar spine:There is a leftward lumbar curve centered at L1/L2. There is trace retrolisthesis of L1 on L2, L2 on L3, and L3 on L4. There is trace anterolisthesis of L4 on L5 and L5 on S1. There is severe degenerative disc disease involving L1/L2 and L2/L3 with edema type signal within the vertebral bodies of L2 and L3, which is likely degenerative in etiology. A T1 and T2 hyperintense signal lesion within the L4 vertebral body likely represents a hemangioma. The conus is normal in signal and morphology and terminates at an appropriate level. L1/2: There is an asymmetric disc bulge to the right with minimal spinal canal stenosis and severe right and moderate left neural foraminal stenosis. There is moderate right lateral recess stenosis. L2/3: There is mild diffuse disc bulge which is also eccentric to the right and ligamentum flavum thickening with mild spinal canal stenosis and severe right and moderate left neural foraminal stenosis. There is moderate right lateral recess stenosis. L3/4: Posterior disc bulge and ligamentum flavum thickening contribute to moderate to severe spinal canal stenosis and moderate right and severe left neural foraminal stenosis. There is severe left lateral recess stenosis.L4/5: Posterior disc bulge and ligamentum flavum thickening contribute to moderate to severe spinal canal stenosis and mild to moderate right and moderate left neural foraminal stenosis. There is moderate bilateral lateral recess stenosis. L5/S1: Posterior disc bulge, ligamentum flavum thickening, and bilateral facet hypertrophy contribute to moderate spinal canal stenosis, mild right neural foraminal stenosis, and mild to moderate left neural foraminal stenosis.
1. Multilevel degenerative changes of the thoracic spine with disc protrusion at T5/T6 with cord impingement, disc extrusion at T12/L1 with mild canal stenosis, and additional findings as described above. Chronic compression deformity of the T8 vertebral body.2. Multilevel degenerative changes of the lumbar spine with moderate to severe canal stenosis at L3/L4 and L4/L5, multilevel moderate to severe neural foraminal stenosis, and multilevel moderate to severe lateral recess stenosis as described above. 3. A single sagittal survey image of the cervical spine also demonstrates additional spondylytic changes of the cervical spine; if the patient has clinical symptoms that can be correlated to this distribution, then dedicated imaging can be considered.