 Cervical spine:Vertebral body heights and intervertebral disc spaces are preserved. Alignment is anatomic. No spinal cord signal abnormalities are identified. Bone marrow signal is within normal limits. The paraspinal soft tissues are unremarkable. Minimal multilevel facet joint arthropathy is noted, with a subcentimeter cystic structure adjacent to the left C5 facet joint at the C4-C5 level, likely degenerative in nature. There is a minimal central disc bulge at the C6-C7 level with no significant spinal canal or neural foraminal stenosis. The remainder of the levels are unremarkable with no significant spinal canal or neural foraminal stenosis is identified.Lumbar spine:For numbering purposes, there are 5 lumbar type vertebral bodies. Vertebral body heights are preserved. Again noted is grade 1 retrolisthesis of L5 on S1 and mild straightening of the lumbar lordosis, otherwise the alignment is anatomic. There are no fractures. Bone marrow signal is benign with edematous changes involving the L5 and S1 endplates related to degenerative disease, unchanged as compared to prior exam. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable.T12/L1: No spinal canal neural foraminal stenosis.L1/2: Minimal facet joint arthropathy with no significant spinal canal or neural foraminal stenosis.L2/3: Minimal central disc bulge with no significant spinal canal stenosis. Bilateral facet joint arthropathy results in minimal bilateral neural foraminal narrowing.L3/4: Minimal disc bulge with no significant spinal canal stenosis. Facet joint arthropathy results in mild bilateral neural foraminal stenosis.L4/5: Minimal disc bulge with bilateral facet joint arthropathy resulting in minimal left neural foraminal narrowing and no significant spinal canal stenosis.L5/S1:Again noted are postsurgical changes of right-sided laminotomy. Again noted is diffuse disc bulge and facet joint arthropathy without evidence of significant spinal canal stenosis. Mild left and moderate to severe right neural foraminal narrowing again noted. There continues to be contact of the disc bulge with the left S1 nerve root and the left lateral recess at the L5-S1 level.Conjoined left L5 and S1 nerve roots in the thecal sac are again noted.
1.Minimal degenerative changes of the cervical spine with no evidence of spinal cord signal abnormalities.2.Multilevel degenerative changes of the lumbar spine, as detailed above and not significantly progressed as compared to prior exam.