 THORACIC SPINE: The thoracic spine is in normal alignment, with a normal thoracic kyphosis. The vertebral body and disc heights are well maintained. There is a T1 and T2 hyperintense focus in the T11 vertebra, likely representing a hemangioma. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. There is no pathological enhancement. There is a small right paracentral disc protrusion at T6-T7 and a small left paracentral disc protrusion at T10-T11. There is no significant spinal canal or foraminal stenosis at these or other levels within the thoracic spine.LUMBAR SPINE: There is mild anterolisthesis of L4 on L5 measuring 3 mm and retrolisthesis of L5 on S1 measuring 8 mm. The vertebral body heights are well-maintained. There is disc dessication at L2-L3, L4-L5 and L5-S1. There is moderate to severe loss of disc height at L5-S1. No worrisome focal marrow signal abnormality is appreciated. There is no pathological enhancement. The distal spinal cord and conus are within normal limits with the conus terminating at the L1 level.T12-L1: No significant disc bulge, herniation, spinal canal or foraminal stenosis.L1-L2: Mild disc bulge, bilateral facet degeneration and thickening of the ligamentum flavum, but no significant spinal canal or foraminal stenosis.L2-L3: Disc bulge, bilateral facet degeneration and thickening of the ligamentum flavum, but no significant spinal canal or foraminal stenosis.L3-L4: Disc bulge, bilateral facet degeneration and thickening of the ligamentum flavum, but no significant spinal canal or foraminal stenosis.L4-L5: Disc bulge, bilateral facet degeneration and thickening of the ligamentum flavum, contributing to mild spinal canal stenosis. No significant foraminal stenosis.L5-S1: Disc bulge with superimposed central/right paracentral disc extrusion abutting the descending S1 nerve roots, bilateral facet degeneration and thickening of the ligamentum flavum, contributing to mild right and moderate left foraminal stenosis, but no significant central spinal canal stenosis.
1. Small right paracentral disc protrusion at T6-T7. Small left paracentral disc protrusion at T10-T11. No significant spinal canal or foraminal stenosis within the thoracic spine.2. Degenerative changes of the lower lumbar spine with disc bulge and superimposed central/right paracentral disc extrusion at L5-S1, contributing to mild right and moderate left foraminal stenosis and effacement of the lateral recesses. Given reported history of left leg radiculopathy, symptoms may be related to impingement of the left L5 nerve root in the neural foramen as well as the traversing left S1 nerve root in the lateral recess.3. Mild anterolisthesis of L4 on L5 and retrolisthesis of L5 on S1. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.