46 year old female with new onset dysphagia and dysphonia 4 months status post uneventful ACDF There has been interval ACDF at C5 and C6. There are no postprocedural fluid collections. There are no extraspinal enhancing masses nor is there abnormal intradural enhancement.There is slight reversal of the upper cervical curvature. The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology.A previously demonstrated T2 hyperintense presumed atypical hemangioma along the lateral C5 vertebral body is somewhat obscured secondary to hardware disc artifact, but is otherwise unchanged.Redemonstrated is a 10 mm lesion present within the T2 vertebral body eccentric towards the right side and associated with spiculations within it. This is also a presumed atypical hemangiomaAt C2-3 there is no significant compromise to the spinal canal or neural foramina, unchanged.At C3-4 there is bilateral uncinate hypertrophy, without stenosis, unchanged.At C4-5 there is no significant compromise to the spinal canal or neural foramina, unchanged.At C5-6, a previously demonstrated right lateral disc protrusion has been removed. As before, there is no significant compromise to the spinal canal. Right lateral recess and right neural foraminal stenosis has been relieved.At C6-7 there is no significant compromise to the spinal canal or neural foramina, unchanged.At C7-T1 there is no significant compromise to the spinal canal or neural foramina, unchanged.
1.There has been interval ACDF at C5 and C6. There are no postprocedural fluid collections. There are no extraspinal enhancing masses nor is there abnormal intradural enhancement.2.At C5-6, a previously demonstrated right lateral disc protrusion has been removed. As before, there is no significant compromise to the spinal canal. Right lateral recess and right neural foraminal stenosis has been relieved.