 THORACIC SPINE: The vertebral column is within normal limits. There are several small posterior disc-osteophyte complexes throughout much of the thoracic spine, without significant spinal canal stenosis. The vertebral body and disc heights are maintained. The vertebral bone marrow signal is unremarkable. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.LUMBAR SPINE: The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. The spinal cord displays normal signal and morphology. There is degenerative spondylosis in the lower lumbar spine. In particular, at L3-L4, there is diffuse disc bulge resulting in mild-to-moderate narrowing of the left neuroforamen, but no significant right neural foraminal or spinal canal narrowing. At L4-L5, there is a disc bulge with mild-to-moderate bilateral neural foraminal narrowing. At L5-S1, there is a disc bulge with a superimposed small left foraminal disc protrusion, resulting in moderate-to-severe left neural foraminal narrowing, mild right neural foramen stenosis, as well as slight spinal canal stenosis. The paraspinal soft tissues are unremarkable.
1. Degenerative spondylosis in the lower lumbar spine with up to moderate-to-severe left and moderate right neural foraminal stenosis at L5-S1, but no significant spinal canal stenosis. 2. Mild multilevel posterior disc-osteophyte complexes in the thoracic spine without evidence of significant spinal canal stenosis.3. No evidence of infiltrative marrow disease or spinal cord lesions.