 There is mild straightening of the cervical lordosis which may be positional. Otherwise, the cervical vertebral bodies are normally aligned. Posterior decompression laminectomy changes are demonstrated from C3 to C7. An oblique fracture involving the T1 spinous process is again demonstrated with the posterior fragment displaced inferiorly. There is linear high T2 and low T1 signal involving the T2 vertebral body suspicious for nondisplaced fracture without significant compression deformity. The spinal cord is of normal caliber. There is no convincing cord signal abnormality.C2-3: No significant disc bulge, herniation, spinal canal or foraminal stenosis.C3-4: There is a small posterior disc osteophyte complex formation without significant spinal canal or neural foraminal stenosis. C4-5: Small right paracentral disc protrusion with mild flattening of the right ventral cord, contributing to mild central spinal stenosis and mild right foraminal stenosis.C5-6: Disc osteophyte complex with bilateral right greater than left uncinate spurs, contributing to moderate central spinal stenosis and severe right and mild left foraminal stenosis. C6-7: There is a small disc protrusion contributing to mild bilateral foraminal stenosis. No significant central spinal stenosis.C7-T1: No significant disc bulge, herniation, spinal canal or foraminal stenosis.
1. Redemonstrated T1 spinous process fracture with posterior fragment displaced inferiorly.2. Linear edema involving the T2 vertebral body is likely related to a nondisplaced fracture without significant compression deformity. 3. Severe right foraminal stenosis at C5-C6 with possible impingement upon the right C6 nerve root.4. Additional multilevel mild neural foraminal narrowing and spinal canal narrowing appears improved status post posterior decompression and laminectomy. 