 Cervical spine:There are no fractures. The marrow signal is benign. The cervical cord is normal in signal without abnormal enhancement. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: UnremarkableC3/4: Left uncinate and facet hypertrophy combine to cause moderate to severe left neural foraminal stenosis.C4/5: Left facet hypertrophy causes mild left neural foraminal stenosis.C5/6: Trace anterolisthesis C4 on C5, and severe left facet hypertrophy. There is mild-to-moderate left neural foraminal stenosis.C6/7: Trace anterolisthesis C6 on C7, bilateral uncinate hypertrophy, and moderate left facet hypertrophy. There are no significant stenoses.C7/T1: Posterior osteophyte disc complex, endplate spurring, and left facet hypertrophy. There is moderate left and mild right neural foraminal stenosis.Thoracic spine:There are nodular enhancing foci involving the surface of the conus.Marrow signal intensity is benign throughout. Increased fat intensity in the T9-T12 bodies suggests prior radiation therapy.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 a tiny midline disc protrusion causing slight flattening of the anterior cord surface without intrinsic cord signal abnormality. T5/6 demonstrates a small midline disc protrusion causing slight flattening of the anterior cord surface without intrinsic cord signal abnormality.T6/7 demonstrates a tiny right paramedian disc protrusion without cord encroachment. T7/8 demonstrates no significant disc bulge or cord encroachment. T8/9 demonstrates a large central disc extrusion extending above the disc level causing anterior cord flattening without intrinsic cord signal abnormality. T9/10 demonstrates a large central disc extrusion extending above the disc level causing anterior cord flattening without intrinsic cord signal abnormality.T10/11 demonstrates a small left paracentral disc protrusion without cord encroachment. T11/12 demonstrates no significant disc bulge or cord encroachment. T12/L1 demonstrates no significant disc bulge or cord encroachment. Lumbar spine:There are nodular enhancing foci involving the cauda equina.Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign.L1/2: Unremarkable.L2/3:Mild disc bulge without stenosis .L3/4: Mild disc bulge and mild bilateral facet hypertrophy without stenosis.L4/5: Diffuse annular disc bulge, ligamentum flavum thickening, severe left facet hypertrophy, moderate right facet hypertrophy, and a tiny left facet effusion. There is mild to moderate left neural foraminal and mild right neural foraminal stenosis.L5/S1: There is partial sacralization of L5. There are no stenoses.
1.Nodular enhancing foci are present involving the conus surface as well as cauda equina.2.Degenerative changes of the cervical, thoracic, and lumbar spines including disc protrusions and stenoses as detailed on a level by level basis above.