 Coronal acquisitions best demonstrate dextrorotoscoliosis centered at the lower thoracic spine. The degree of scoliosis could be better defined with radiography.Cervical spine:There is slight reversal of normal upper cervical curvature. There are no fractures or subluxations. The marrow signal is benign. The cervical cord is normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable. Incidental note is made of a small right submandibular gland.There are no osseous dysplasias.C2/3: UnremarkableC3/4: Mild disc bulge and left uncinate hypertrophy without stenosis.C4/5: Posterior osteophyte disc complex, bilateral facet hypertrophy, and slight ligamentum flavum thickening. There is mild bilateral neural foraminal stenosis.C5/6: UnremarkableC6/7: Right facet hypertrophy without stenosisC7/T1: UnremarkableThoracic spine:Marrow signal intensity is benign throughout. The spinal cord is normal in signal. There are no masses.There are no osseous dysplasias.T1/2 demonstrates no significant disc bulge or cord encroachment.T2/3 demonstrates no significant disc bulge or cord encroachment. T3/4 demonstrates no significant disc bulge or cord encroachment. T4/5 demonstrates no significant disc bulge or cord encroachment. T5/6 demonstrates no significant disc bulge or cord encroachment.T6/7 demonstrates no significant disc bulge or cord encroachment. T7/8 demonstrates no significant disc bulge or cord encroachment. Right facet hypertrophy causes moderate right neural foraminal stenosis.T8/9 demonstrates no significant disc bulge or cord encroachment. Right facet hypertrophy causes severe right neural foraminal stenosis.T9/10 demonstrates no significant disc bulge or cord encroachment. Right facet hypertrophy encroaches the right neural foramen without significant stenosis.T10/11 demonstrates no significant disc bulge or cord encroachment. Right facet hypertrophy encroaches the right neural foramen without significant stenosis.T11/12 demonstrates no significant disc bulge or cord encroachment. Bilateral facet hypertrophy (left greater than right) causes moderate left neural foraminal stenosis.T12/L1 demonstrates no significant disc bulge or cord encroachment. Left facet hypertrophy without foraminal stenosis.Lumbar spine:Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable.There are no osseous dysplasias.Disc desiccation is present at L4/5 and L5/S1.L1/2: Asymmetric bulge to the left with endplate spurring as well as bilateral facet hypertrophy. There is mild left neural foraminal stenosis.L2/3: Bilateral facet hypertrophy without stenosis.L3/4: Diffuse annular disc bulge, ligamentum flavum thickening, and bilateral facet hypertrophy. There is mild central and mild bilateral neural foraminal stenosis.L4/5: Diffuse annular disc bulge, ligamentum flavum thickening, and bilateral facet hypertrophy. There is mild bilateral neural foraminal stenosis.L5/S1:Asymmetric bulge to the right, endplate spurring and bilateral facet hypertrophy. Bilateral S1 nerve sheath origins are abutted without significant deformation or displacement. There is mild right neural foraminal stenosis.
1.Coronal acquisitions best demonstrate dextrorotoscoliosis centered at the lower thoracic spine. The degree of scoliosis could be better defined with radiography.2.There are no osseous dysplasias.3.The spinal cord and conus are normal in signal.4.C4/5: Mild bilateral neural foraminal stenosis.5.T7/8: Moderate right neural foraminal stenosis.6.T8/9: Severe right neural foraminal stenosis.7.T11/12: Moderate left neural foraminal stenosis.8.L1/2: Mild left neural foraminal stenosis.9.L3/4: Mild central and mild bilateral neural foraminal stenosis.10.L4/5: Mild bilateral neural foraminal stenosis.11.L5/S1:Mild right neural foraminal stenosis.