[Lynne123]

MRI Results
There is degenerative changes involving C3-4 and C5-6 intervertebral discs.

There is mild hypertensive signal involving the cervical cord opposite the C3-4 and C5-6, suggestive of mild myelomalacia changes.

No evidence of cerebellar tonsillar herniation.

At the level of C3-4, there is a diffuse posterior disc protrusion pressing the
thecal sac and impinging both ventral roots, more prominent on the left side. Clear neural exit foramina. Mild pressure on the anterior surface of the cord.

At the level of C4-5 there is a mild circumferential disc bulge impinging the thecal sac and both ventral roots with no direct Impingement on the cord. Free roots in the neural exit foramen.

At the level C5-6, there is a diffuse posterior central with left paracentral and lateral disc protrusion compressing the cord and indenting both ventral roots, more prominent on the left side, protruding into the left neural exit foramen impinging the foramen and root in the foramen.

At the level of C6-7, there is a posterior central disc bulge impinging the thecal sac centrally with no obvious root impingement.

There is severe scoliosis in the dorsoculumbar spine, con cavity toward the left in the upper dorsal spine with compensatory curve involving the lower dorsal and lumbar region with com cavity to the right.

No evidence of vertebral wedging or hemivertebrae.

The axial sections show normal dorsal cord with no evidence of significant disc impingement on the cord or the thecal sac. Multiple lateral and anterior disc bulges noted but no obvious impingement on the root in neural exit foramina or on the cord noted on the axial scans.

Multiple osteoarthritic changes of the facet joints at several levels with mild encroachment on the neural exit foramina but no obvious root impingement noted.

No evidence of bone marrow signal intensity alternation noted.

Severe kyphoscoliotic changes in the thoracolumbar region with curve com cavity in the thoracic region toward the left, thoracolumbar curve shows con cavity toward the right.

Multiple disc degenerative changes involving the lumbar region with disc dehydration.

At the level L3-4 there is a prominent right lateral disc with minimal diffuse posterior bulge, lateral bulge partially impinge the left L3 root as it exit the neural foramen.

At the level L4-5, there is a diffuse posterior bulge with left lateral disc extension mildly impinging the thecal sac and left L5 root in the lateral recess with mild impingement on the left L4 root as it exit the neural foramen.

At the level L5-S1, there is a diffuse circumferential disc bulge just indenting the thecal sac centrally with mild impingement on the inferior surface of the right L5 root as it exit the neural foramen with no obvious impingement on the S roots in the lateral recesses.

No obvious focal canal stenosis noted.

OA changes of the facet joints at the L3-4 and L4-5.