 Thoracic Spine: The thoracic spine is in normal alignment, with a normal thoracic kyphosis. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the thoracic spine. Lumbar Spine: The lumbar spine is in normal alignment, with a normal lumbar lordosis. There are chronic compression deformities of L3, L4 and L5 with interval normalization of previously T2/STIR signal related to edema. No worrisome focal marrow signal abnormality is appreciated. The distal spinal cord and conus are within normal limits with the conus terminating at the T12/L1 level. There is mild disc bulge at L2-L3 with associated minimal narrowing of the spinal canal and right neural foramen. At L3-L4 there is mild disc bulge and mild facet arthropathy with associated mild narrowing of the spinal canal and mild bilateral foraminal narrowing.At L4-L5 there is a mild disc bulge and facet arthropathy with associated mild narrowing of the spinal canal, mild right neural foraminal narrowing and mild to moderate left neural foraminal narrowing.At L5-S1 there is mild disc bulge with small central protrusion and bilateral facet hypertrophy with mild bilateral neural foraminal narrowing. There is no significant narrowing of the spinal canal.
1. Chronic mild compression deformities of L3 to L5 vertebral bodies without interval worsening of height loss and interval resolution of previously seen associated marrow edema. No new compression fractures. 2. Mild multilevel lumbar spondylosis similar to prior without high grade narrowing of the spinal canal or neural foramina at any level.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.