History of cervical spine fusion at C5-C6. Status post car accident with new right arm pain/paresthesias. There are postsurgical changes of anterior cervical fusion at the C5-C6 level with associated artifact slightly limiting evaluation. There appears to be moderate degree of spinal canal stenosis at this level. There is questionable signal abnormality in the cord at this level without cord swelling. There are additional disc osteophyte complexes throughout the cervical spine with mild to moderate degree of spinal canal stenosis also present at the C4-C5 and C6-C7 levels.There is otherwise no high-grade spinal canal stenosis in the cervical, thoracic, or lumbar spine. The vertebral bodies are appropriate in the overall alignment and height. Mild degenerative changes in the lumbar spine are also present including a disc bulge at the L2-L3 level with dorsal annular fissure. No evidence of epidural hematoma.
This is a limited exam specific for the exclusion of cord compression only. There is no evidence of acute cord compression or epidural hematoma. There are postsurgical changes of ACDF at the C5-C6 level with moderate spinal canal stenosis at this level and questionable small focus of T2 hyperintensity within the cord, which is age-indeterminate. There are also multilevel disc osteophyte complexes particularly at the C4-C5 and C6-C7 levels with associated mild to moderate degree of spinal canal stenosis. Dedicated cervical spine MRI can be considered for better assessment of these findings.Due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine.