Findings:
The craniocervical junction is normal.
The cord and conus are unremarkable, as is the cauda equina. The cord terminates at T12/L1.
Vertebral haemangioma is noted in the T5 vertebral body.
Compared to the previous study newly appreciated effusion is noted within the facet joints at L5/S1 with synovial cyst on the left side and mild bone marrow oedema and surrounding inflammation on the right side, in keeping with facet joint arthropathy with active synovial inflammation.
The bone marrow signal is otherwise unremarkable without evidence of any suspicious lesions.
Moderate disc degeneration is seen in the cervical spine with decreased signal intensity of the intervertebral discs.
Minimal disc bulging is seen at C3/4 without any relevant stenosis.
Central disc protrusion is seen at C6/7 with obliteration of the anterior CSF space without cord compression or myelopathy, unchanged to the previous study.
No disc herniation or stenosis is seen in the thoracic spine.
Known grade 1, degenerative anterolisthesis is seen at L4/5 with consequential pseudo-disc and bilateral osteoarthritis of the facet joints without any relevant stenosis or nerve root impingement.
Minimal disc bulging in the rest of the lumbar spine without any significant stenosis.
A small Tarlov cyst is seen along the S2 nerve root on the left side. Sigmoid diverticulosis is noted.
Conclusion:
No evidence of suspicious osseous lesions. No vertebral fracture.
Osteoarthropathy of the facet joints with active synovial inflammation at L5/S1 bilaterally, more significant on the right side.
No significant central canal or neural foraminal stenosis, no myelopathy.