 The cervical spine is in normal alignment, with a normal cervical lordosis. The vertebral body and disk heights are well-maintained. There is heterogeneous marrow signal in the C2-C6 vertebral bodies with foci of high T2 and STIR signal in the C2, C5, and C6 vertebral bodies. The spinal cord is of normal caliber and signal.*C2-C3: No significant disc disease, spinal canal, or neural foraminal narrowing.*C3-C4: Osteophyte disc complex and uncovertebral joint hypertrophy with mild bilateral neural foraminal narrowing.*C4-C5: No significant disc disease, spinal canal, or neural foraminal narrowing.*C5-C6: Osteophyte disc complex, uncovertebral joint hypertrophy, and ligamentum flavum thickening resulting in mild central canal and moderate bilateral neural foraminal stenosis.*C6-C7: No significant disc disease, spinal canal, or neural foraminal narrowing.*C7-T1: No significant disc disease, spinal canal, or neural foraminal narrowing.THORACIC SPINE
1.Destructive T10 vertebral body lesion with soft tissue extension into the anterior paraspinal fat and epidural space results in mild to moderate central canal stenosis but no cord compression.2.Abnormal marrow signal within the left transverse process of the T4 vertebral body corresponds with hypermetabolic lesions on PET/CT. Additional abnormal marrow signal is present in the C2, C5, C6, T5, and T6 vertebral bodies and are compatible with myelomatous involvement.3.An 8 mm synovial cyst abuts the right L5 nerve root.