 Exam is limited due to lack of contrast and some sequences are limited by patient motion. There is minimal grade 1 anterolisthesis is one measuring 3 mm. The spine is otherwise in normal alignment. There is multilevel disc narrowing and the cervical spine, overall moderate degree from C4-C5 through C6-C7. There is scattered mild disc narrowing and desiccation along the mid thoracic spine. Prominent disc narrowing and desiccation is noted throughout the lumbar spine, with vacuum phenomenon at multiple levels.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. The distal spinal cord and conus are within normal limits with the conus terminating at the lower L2 level. There is thickening and slight redundancy of the cauda equina nerve roots although this is unchanged, due to spinal stenosis below.There are mild scattered cervical spondylotic changes from C4-C5 to C6-C7, with up to mild-moderate central spinal canal stenosis at C5-C6 with slight indentation of the ventral cord. There is prominent right uncovertebral hypertrophy at this level resulting in moderate-severe right foraminal narrowing.There are scattered thoracic spondylotic changes with tiny central disc protrusions at T6-T7, T7-T8, T10-T11, and T11-T12.At T12-L1, there is a trace disc bulge without stenosis. Bilateral facet arthropathy and ligamentum flavum thickening is noted.At L1-L2, there is significant endplate degenerative changes. There is a moderate posterior osteophyte disk complex and severe bilateral facet arthropathy and ligamentum flavum thickening, with overall mild to moderate central spinal canal stenosis and moderate bilateral foraminal narrowing.At L2-L3, there is a mild disc bulge with slight left-sided prominence. There is moderate bilateral facet arthropathy and ligamentum flavum thickening with overall mild-moderate central spinal canal stenosis. There is mild-moderate left foraminal narrowing.At L3-L4, there is a mild disc bulge with bilateral facet arthropathy and ligamentum flavum thickening. There is narrowing of the right lateral recess with abutment of the descending right L4 nerve root. There is mild left foraminal narrowing.At L4-L5, there is a trace disc bulge with mild-moderate right foraminal narrowing. There is bilateral facet arthropathy and ligamentum flavum thickening.At L5-S1, there is a mild disc bulge with superimposed right foraminal disc protrusion there is mild bilateral foraminal narrowing with bilateral facet arthropathy and ligamentum flavum thickening noted.
1. No MR evidence of osseous involvement by myelomatous lesions within the limitations of noncontrast technique.2. Multilevel spondylotic changes throughout the spine as detailed above, with similar appearance of mild-moderate lumbar spondylotic changes compared to July 2014. Moderate-severe right foraminal narrowing at C5-C6.