 There is slight straightening of the cervical spine which may be positional. Again seen and unchanged is multilevel degenerative changes without significant vertebral body height loss. There is evidence of a previous laminoplasty extending from the C3-C6 levels. The marrow signal is mildly heterogeneous which is nonspecific. The spinal cord is of normal caliber and signal. C2-3: No disc bulge. No significant neuroforaminal or central canal stenosis.C3-4: Moderate disc disease with a mild disc osteophyte complex. No significant neuroforaminal or central canal stenosis.C4-5: Mild to moderate disc disease with a disc osteophyte complex and a focal superimposed central disc protrusion. There is also uncovertebral hypertrophy. There is questionable mild bilateral neural foraminal stenosis but no central canal stenosis.C5-6: Advanced disc disease with a disc osteophyte complex. There is a right paracentral disc protrusion. This results in moderate to severe right and mild left neural foraminal stenosis. No significant central spinal canal stenosis.C6-7: Advanced disc disease and disc osteophyte complex with uncovertebral hypertrophy. There is mild right and moderate left neuroforaminal stenosis. No central canal stenosis.C7-T1: Disc osteophyte complex with left facet hypertrophy. Mild left neural foraminal stenosis. No right neuroforaminal or central canal stenosis.THORACIC SPINE
Multilevel degenerative changes throughout the spine, most severe within the lumbar spine where there is severe central spinal canal stenosis extending from the L2-3 through L4-5 levels but this is not significantly changed compared to multiple previous exams. There is also severe neural foraminal stenosis extending from L2-3 to L5-S1 more severe on the left.