 Cervical spine:The cervical spine is in normal alignment with normal cervical lordosis. The vertebral body and disc heights are well-maintained. There is no worrisome focal neural signal abnormality appreciated. No evidence of spinal stenosis.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The thyroid gland is heterogeneous and markedly enlarged.Lumbar spine:Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is loss of disc space height disc desiccation and a disc bulge with no significant narrowing of the neural foramina. There are some endplate reactive changes present at this level which have high signal on T2 and intermediate signal on T1 suggesting subacute reaction.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is loss of disc space height, disc desiccation and a mild disc bulge at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There are degenerative changes present in the lumbar spine without significant compromise to spinal canal or exiting nerve roots.2.There are minor degenerative changes present in the cervical spine which is stable compared to the previous exam.3.Markedly enlarged thyroid gland.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.