 Advanced degenerative changes are partially visualized in the cervical spine on localizer images. Thoracic vertebral column alignment is within normal limits. There is minimal anterior wedging of the T7, T8 and T9 vertebral bodies. The vertebral body heights are otherwise preserved. There is multilevel degenerative endplate bone marrow signal alteration and multilevel disc desiccation and loss of disc height throughout the upper and mid thoracic spine with vacuum disc phenomenon at multiple levels. Minimal disc-osteophyte complexes are present throughout the thoracic spine, but there is no significant spinal canal stenosis. The thoracic spinal cord displays normal signal and morphology. There is a large heterogeneous right thyroid lobe mass. There are bilateral pleural effusions and posterior pulmonary consolidations. The atrophic right kidney is partially imaged, but contains multiple probable renal cysts. There is a large staghorn calculus left renal collecting system.
1. Multilevel degenerative disc-osteophyte complexes without spinal canal compromise, but no specific findings to suggest discitis-osteomyelitis or epidural abscess.2. Large heterogeneous right thyroid lobe mass. 3. Large staghorn calculus left renal collecting system.4. Bilateral pleural effusions and posterior pulmonary consolidations. 