 CERVICAL: There is minimal 1 mm retrolisthesis of C3 on C4, C4 on C5 and C5 on C6. The osseous marrow is diffusely low on T1 and heterogeneous without associated STIR signal abnormality or enhancement. The vertebral body heights are intact. There is loss of T2 intervertebral disk signal especially at all levels from desiccation. The spinal cord signal is within normal limits. There is no suspicious enhancement.C2-3: Tiny central disk osteophyte complex with no spinal stenosis.C3-4: Small disk osteophyte complex and right uncovertebral hypertrophy with mild spinal canal and right neural foraminal stenosis.C4-5: Posterior disk osteophyte complex causing mild spinal canal stenosis no significant neural foraminal stenosis.C5-6: Disk osteophyte complex, ligamenta flava thickening causing mild spinal canal stenosis. Bilateral uncovertebral hypertrophy causing moderate left and mild right neural foraminal stenosis.C6-7: Small disk osteophyte complex with no spinal stenosis.C7-T1: Small posterior disk osteophyte complex with no spinal stenosis.THORACIC: There is mild motion degradation of some sequences limiting evaluation. There is normal alignment of the thoracic spine. The osseous marrow is diffusely low on T1 and heterogeneous without associated STIR signal abnormality or enhancement. There is loss of T2 signal in multiple thoracic disks from desiccation. The cord signal is within normal limits. There is no suspicious enhancement.There is no significant disk herniation, or spinal stenosis in the thoracic spine.LUMBAR: There is bilateral L4-5 facet facet edema extending into the pedicles, and small facet joint effusions with mild regional enhancement felt to be reactive from facet arthropathy. Elsewhere, the osseous marrow is diffusely low on T1 and heterogeneous without associated STIR signal abnormality or enhancement.The S1 vertebral body is lumbarized with the last well formed disk space being at S1-2. There is exaggerated lumbar lordosis. There is minimal grade 1 anterolisthesis of L4 on L5. The conus terminates at L2, within normal limits. The conus shows normal signal. There is heterogeneous the osseous marrow the sacrum in the bilateral iliac bones. T12-L1: No spinal stenosis or disk herniation.L1-2: No disk herniation or spinal stenosis.L2-3: Mild disk bulge and facet arthropathy with no significant spinal stenosis.L3-4: Mild disk bulge, ligamenta flava thickening and and facet arthropathy with mild right neural foraminal stenosis and no significant left neural foraminal stenosis and mild spinal canal stenosis.L4-5: Diffuse disk bulge asymmetric of the right, moderate bilateral facet arthropathy with small joint effusions, edema in the facets extending to the pedicles and regional enhancement. Mild/moderate bilateral neural foraminal stenosis and moderate spinal canal stenosis.L5-S1: Diffuse disk bulge, bilateral facet arthropathy and ligamenta flava thickening causing mild bilateral neural foraminal stenosis. No spinal canal stenosis.
1.No definite cord lesion or suspicious enhancement.2.Multilevel lumbar spondylosis with advanced L4-5 degenerative facetitis with small bilateral L4-5 facet effusions, reactive facet marrow edema and enhancement, all felt to be secondary to the patient's facet arthropathy at this level.3.Multilevel cervical spondylosis.4.Heterogeneous and low T1 osseous marrow signal, but without associated STIR signal abnormality or enhancement. This is felt to be a benign process, most likely related to anemia of any etiology or chronic smoking. 