 The cervical spine is in normal alignment, with exaggeration of the normal cervical lordosis. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. At C5-C6 and C6-C7, there are trace disc bulges without stenosis. There is also mild ligamentum flavum thickening particularly at C6-C7. There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the remainder of the cervical spine. Patchy T2 hyperintensity seen within the pons and the midbrain which is nonspecific but may relate to chronic small vessel ischemic changes, as seen on previous dedicated brain MRI. Incidental note is made of a small oval T2 hyperintense and T1 hypointense structure in the left palatine tonsil measuring 7 x 5 mm on 601/29. This measures 8 mm CC on 401/1. However, correlating with previous brain images where it is partially visualized, there is no significant enhancement.LUMBAR SPINE
1. Mild lower cervical spondylotic changes without significant stenosis.2. Mild lower lumbar spondylotic changes with focal right foraminal disc protrusion resulting in only mild right foraminal narrowing.3. Questioned slight increased cranial caudal dimension of the liver. Please correlate with physical exam.4. Small deep left palatine tonsil T2 hyperintense lesion which is incompletely assessed, previously not noted to demonstrate associated enhancement. This is nonspecific, but may represent a small cyst. Dedicated CT or MRI of the neck may be obtained as clinically indicated.