 There is 4 mm grade 2 anterolisthesis of C4 on C5 and C6 on C7. Grossly this appears similar to prior counting survey from the thoracic spine MRI. The cervical spine is otherwise in normal alignment, with exaggeration of the normal cervical lordosis. There is mild disc narrowing at C3-C4 with mineralization centrally. There is also mild disc narrowing at C4-C5 and moderate-severe disc narrowing at C5-C6. There is diffuse disc desiccation. The vertebral body and disk heights are otherwise well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal.At C2-C3, there is no significant disk pathology or stenosis. There is minimal ligamentum flavum thickeningAt C3-C4, there is no significant disk pathology or central spinal canal stenosis. There is mild bilateral foraminal stenosis due to diminished disc height.At C4-C5, there is uncovering of the disc with a minimal disc bulge and ligamentum flavum thickening resulting in minimal central spinal canal stenosis. There is mild bilateral foraminal narrowing.At C5-C6, there is mild bilateral uncovertebral hypertrophy without stenosis.At C6-C7, there is uncovering of the disc with a moderate disc bulge and ligamentum flavum thickening, without stenosis.At C7-T1, there is a trace disc bulge without stenosis.Punctate T2 hyperintensity within the central pons is nonspecific but may represent small vessel ischemic change. Incidental note is made of medialized course of the common carotid arteries.LUMBAR SPINE
1.Degenerative grade 2 anterolisthesis of C4 on C5 and C6 on C7, grossly similar to prior counting survey from MRI thoracic spine. Mild to moderate scattered spondylotic changes without high-grade stenosis.2.Stable moderate chronic compression deformity involving L1 and L4. Multilevel spondylotic changes, most conspicuous at L4-L5 where there is up to moderate-severe right foraminal narrowing. Impingement of the exiting right L4 nerve root. No high-grade central spinal canal stenosis.3.Nonspecific T2 hyperintense lesion off the lower pole the right kidney, statistically most likely a cyst. Ultrasound could be obtained for further evaluation as clinically indicated.