 Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. There is reversal of the normal cervical curvature centered at C4-5, unchanged. There is subtle signal hyperintensity within the spinal cord at C4-5 the disk space level which is unchanged.At C2-3 there is no significant compromise to the spinal canal or neural foramina, unchanged. At C3-4 there is no significant compromise to the spinal canal or neural foramina. There is a small right paracentral disk protrusion present at this level which is unchanged in appearance. There is partial effacement of spinal fluid ventral and posterior the spinal cord and overall mild spinal stenosis.At C4-5 there is loss of disk space height, diffuse disk bulge and small endplate and uncovertebral osteophytes with more uncovertebral osteophytes on the right side relative to the left. There is encroachment of the right-sided exiting nerve roots within the neural foramina at this level. There is effacement of spinal fluid ventral and posterior the spinal cord at this level. Overall moderate there is a degree of spinal stenosis which has not significantly changed.At C5-6 there is no significant compromise to the spinal canal or neural foramina, unchanged.At C6-7 there is no significant compromise to the spinal canal or neural foramina, unchanged.At C7-T1 there is no significant compromise to the spinal canal or neural foramina, unchanged.The vertebral artery flow voids appear are intact.Lumbar spine:Alignment is anatomic. There are no fractures or subluxations. The marrow signal is normal. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized paraspinal contents are unremarkable.Disc desiccation and mild disc height loss are present at L3/4, L4/5, and L5/S1, unchanged. L1/2: Unremarkable and unchanged.L2/3: Unremarkable and unchanged.L3/4: There is a left foraminal/lateral disc protrusion which impinges the adjacent left L3 nerve root and causes moderate left neural foraminal stenosis. There is also diffuse annular disc bulge, bilateral ligamentum flavum thickening, and bilateral facet hypertrophy without significant central or right foraminal stenosis. These findings are unchanged.L4/5: A previously demonstrated central disc extrusion, extending below the disc level, has slightly decreased in size. There is mild central stenosis (previously mild to moderate) as well as moderate bilateral lateral recess stenosis which is unchanged. Mild bilateral facet hypertrophy and mild left neural foraminal stenosis is stable.L5/S1: There is a right paracentral disc protrusion which abuts, posteriorly displaces, and effaces the right S1 nerve root sheath origin, unchanged.
1.C3-4: A small right paracentral disk protrusion present is unchanged in appearance. 2.C4-5: Moderate central spinal stenosis which has not significantly changed. Subtle signal hyperintensity within the spinal cord is also unchanged.3.L3/4: A left foraminal/lateral disc protrusion which impinges the adjacent left L3 nerve root and causes moderate left neural foraminal stenosis is unchanged.4.L4/5: A central disc extrusion has slightly decreased in size. There is mild central stenosis (previously mild to moderate) as well as moderate bilateral lateral recess stenosis which is unchanged. Mild left neural foraminal stenosis is stable.5.L5/S1: A right paracentral disc protrusion abuts, posteriorly displaces, and effaces the right S1 nerve root sheath origin, unchanged.