69-year-old female with C7 fracture, evaluate for healing As seen on prior, there is mild loss of height of the C7 vertebral body involving depression of the superior endplate. Band of T2 hyperintensity and T1 hypointensity abnormality indicating edema along the superior endplate, more so on the right than on the left is slightly improved since 9/25/2014. Edema extending involving the C7 right pedicle and lamina is also improved in the interval. Edema within the interspinous soft tissues extending from C4 to C7 is also improved in the interval. Subtle edema involving the posterior longitudinal ligament is also noted at the C6 level. No evidence of frank ligamentous disruption. Anterior longitudinal ligament and ligamentum flavum also are intact.There is a central disk protrusion at the C6-C7 level similar to prior. There is possible T2 hyperintense in the right ventral cord at the C6-7 level which is more apparent than on prior. No cord swelling.Vertebral body heights are maintained. There is minimal anterolisthesis of C6 on C7 which was present on prior. Alignment is otherwise maintained.C2-3: Mild central posterior disk osteophyte with partial effacement of the ventral thecal sac. No significant spinal canal or foraminal narrowing. Mild facet arthropathy.C3-4: Mild central posterior disk osteophyte with effacement of the ventral thecal sac. No significant spinal canal or neuroforaminal narrowing. Mild facet arthropathy.C4-5: Mild central posterior disk osteophyte with effacement of the ventral thecal sac. No significant spinal canal or foraminal narrowing. C5-6: Minimal posterior disk osteophyte formation. No significant spinal canal or neuroforaminal narrowing. C6-7: Central disk protrusion with mild ventral cord deformity, similar to prior allowing for differences in position. There is also foraminal component of the disk on the right with mild narrowing of the right neural foramina. Left neural foramen is patent.C7-T1: Unremarkable.
1. Fractures involving the superior endplate of the C7 vertebral body extending into the posterior elements on the right are better seen on prior CT. There is mild decrease in associated bone marrow edema compared to prior MRI from 9/25/2014, suggestive of healing.2. Mild anterolisthesis of C6 on C7. There is subtle edema involving the posterior longitudinal ligament and interspinous ligaments suggestive of ligamentous injury, which is decreased in the interval. No evidence of frank ligamentous disruption.3. Disk protrusion at C6-7 again seen with mild deformity of the ventral cord and mild narrowing of the right neural foramen. Given above findings, this disc herniation may be traumatic in etiology. 4. Possible minimal T2 hyperintensity in the right ventral cord at C6-7.