 Examination is slightly motion degraded.Thoracic spine: There is mild straightening of the thoracic spine with otherwise preserved alignment. The vertebral body and disk heights are well-maintained. There is diffuse low T1 marrow signal without focal suspicious lesions. The spinal cord is of normal caliber and signal. There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the thoracic spine. Small perineural cysts are incidentally noted at multiple levels. No epidural collections. No paraspinous collections.Lumbar spine: There is mild straightening of the lumbar spine with otherwise preserved alignment. Vertebral body heights are maintained. There is diffuse low T1 marrow signal without focal suspicious lesions. There is small nonspecific focus of T2 hyperintensity involving the L3 vertebral body anteriorly with possible corresponding T1 hyperintensity.No epidural collections. No paraspinous collections. Small amount of fluid is noted within the subcutaneous fat at the L4 level slightly with from the midline bilaterally and is nonspecific.Mild degenerative changes are seen with mild multilevel disc bulges throughout the lumbar spine. There is mild left and minimal right neural foraminal stenosis at L4-L5. There is also mild left relatively greater than right L5-S1 neural foraminal narrowing.Atrophic kidneys noted.
1. Lack of contrast and motion degradation slightly limit evaluation however no edema within the intervertebral discs or endplates is appreciated to suggest discitis-osteomyelitis. No fluid collections to suggest abscess within the epidural space or paraspinous soft tissues.2. Diffuse low T1 marrow signal which can be seen in conditions such as chronic anemias. Small focus of T2 hyperintensity involving the L3 vertebral body which may represent a benign entity such as hemangioma but is nonspecific.3. Mild degenerative changes in the lumbar spine with mild neural foraminal narrowing at L4-L5 and L5-S1 as described above.