History of cervical schwannoma. Annual follow-up. The examination is significantly limited by patient motion.The contrast-enhancing soft tissue mass expanding the left C2-C3 neural foramen has not significantly changed since the prior examinations, measuring transaxially 15 mm x 10 mm. Postoperative findings involving the left C2 lamina and the overlying soft tissues remain unchanged. The mild deformity including rotation of the upper cervical spinal cord at the C1-C2 level which is unchanged, and may be related to the adhesion. The cervical spinal cord shows normal signal. Multilevel degenerative changes, most pronounced at C4-C5, C5-C6 and C6-C7 related to small disc osteophyte complexes and uncovertebral hypertrophy remain unchanged since the prior examination, resulting mild spinal canal stenosis. Mild right C3-C4, left more than right C4-C5, moderate left and mild right C5-C6, and moderate left C6-C7 neural foraminal stenoses are present.
1.The contrast-enhancing, expansile soft tissue in the left C2-C3 neural foramen, compatible with the known schwannoma, remains unchanged compared to prior examinations from June 2015 and June 2014.2.Mild cord deformity and rotation at C1-C2 level is unchanged and may relate to adhesions.3.Multilevel degenerative disease resulting in variable mild-to-moderate spinal canal and neural foraminal stenoses, also remains not significantly changed.