Lower back pain and mid back pain with herniated disks. Thoracic: Thoracic vertebral body heights are maintained. Alignment is maintained. No focal suspicious lesions within the marrow. Small focus of low T1 and low T2 signal at the dorsal T8 vertebral body may represent a sclerotic lesion such as bone island. Mild degenerative changes are seen in the thoracic spine. There is a small right paracentral disk protrusion at the T7-T8 level with mild ventral impression on the thoracic cord. No cord signal abnormality. Tiny left paracentral protrusion is seen at T8-T9 without spinal canal or neural foramina stenosis.There is otherwise no significant spinal canal or neural foramina stenosis.Lumbar:Five lumbar type vertebral bodies are present. Vertebral body heights are within normal limits. Alignment is within normal limits. There is some diffuse low T1 marrow signal without focal destructive osseous lesions. The conus medullaris is normal in position.Minimal degenerative changes are seen, as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: No significant disc disease. No spinal canal or neural foraminal stenosis.L5-S1: There is disk desiccation and small central disk protrusion. No spinal canal or neural foraminal stenosis.Mild facet arthropathy in the lumbar spine. Paraspinous soft tissues are within normal limits.
1. Right paracentral disk protrusion at the T7-T8 level with mild impression on the right ventral aspect of the thoracic cord. No cord signal abnormality. No significant change since 10/20/2014.2. Minimal degenerative changes elsewhere in the thoracic and lumbar spine including small L5-S1 central disc protrusion without significant spinal canal or neural foramina stenosis.3. Diffuse low T1 marrow signal which is nonspecific and can be seen in conditions such as anemia, chronic illnesses, or less likely lymphoproliferative disorders.