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Findings:

Cervical spine: There is reversal of the normal cervical lordosis which could relate to neck muscle spasm.  There is marginal osteophyte formation and disc space narrowing present at C4-C5, C5-C6, and C6-C7.  No spondylolisthesis.  No acute fracture or osseous destructive process.  No widening of the anterior atlantodental interval.  No prevertebral soft tissue swelling.  The visualized lung apices are unremarkable.

Thoracic spine: No acute thoracic compression fracture or osseous destructive process.  There is minimal degenerative spurring of the thoracic spine.  The incidentally observed soft tissues of the chest are unremarkable.

Lumbar spine: There is degenerative change of the lumbar spine in the form of marginal osteophyte formation with disc space narrowing and facet arthropathy observed at L4-L5 and L5-S1.  No spondylolisthesis.  No acute lumbar compression fracture.  No pars defects appreciated radiographically.  The incidentally observed paraspinal soft tissues are unremarkable.
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