 Thoracic: The thoracic spine is in normal alignment. The vertebral body heights are maintained. Bone marrow signal is benign. The spinal cord is of normal caliber and signal. Mild degenerative changes include disc height loss at the T7-T8 level with associated edematous marrow signal changes. Small Schmorl's node at the superior T6 endplate with mild edema also seen. There are minimal multilevel bulges in the lower thoracic spine. There is also mild to moderate generalized facet arthropathy in the mid and lower thoracic spine as well as ligamentum flavum thickening. There is no significant spinal canal stenosis or significant neural foraminal stenosis at any level in the thoracic spine..Lumbar: For the purposes of numbering, there are 5 lumbar type vertebral bodies. Vertebral body heights in the lumbar spine are normal. Again seen is loss of normal lumbar lordosis which is similar to prior. Minimal retrolisthesis of L3 on L4 is also similar to prior. Vertebral body heights are maintained. Conus is in normal position.There are multilevel degenerative changes including disc desiccation and small Schmorl's nodes throughout the lumbar spine which are similar to prior. Additional details as below:L1-L2: Mild disc bulge eccentric to the right with ligamentum flavum thickening and mild facet arthropathy. There is partial effacement of the right lateral recess similar to prior, but otherwise no significant central canal stenosis. Neural foramina are patent.L2-L3: Minimal disc bulge and mild ligamentum flavum thickening and facet arthropathy. There is no significant spinal canal or neural foraminal stenosis.L3-L4: There is mild disc bulge, ligamentum flavum thickening and facet arthropathy. Distention of the facet joints is again seen. There is mild effacement of the right lateral recess, but no significant central canal stenosis. There is moderate right and mild left neural foraminal stenosis similar to prior.L4-L5: Mild disc bulge and mild facet arthropathy. No significant spinal canal stenosis. Mild narrowing of the bilateral neural foramina. There is subtle clumping of the left-sided cauda equina nerve roots which is unchanged and may represent mild arachnoiditis.L5-S1: No significant disc disease. Mild left neural foraminal stenosis related to left-sided facet arthropathy similar to prior. No spinal canal or right neural foraminal stenosis.
1. Mild multilevel degenerative changes in the thoracic spine without significant spinal canal or neural foraminal stenosis. 2. Mild to moderate degenerative changes in the lumbar spine which are not significantly changed since 8/23/2014. There is no high-grade spinal canal stenosis at any level. There is up to moderate right L3-L4 neural foraminal stenosis. Additional details as above.