 There is mild straightening of the normal cervical lordosis. Increased T2 signal along the inferior endplates of C2 and superior endplate of C3 is likely degenerative. Multilevel degenerative disc disease and mild disc space loss, most prominent at C5-C6 and C6-C7. Postsurgical changes of C4-C6 laminectomy with expansion of the thecal sac posteriorly and fluid posterior to the dura appears similar to the prior exam. The cord is again small in caliber from C4 to C6 with increased T2 signal, likely reflecting myelomalacia and appearing similar to the prior exam. No new areas of abnormal signal within the cord.C2-C3: Small disc osteophyte complex and ligamentum flavum thickening. No significant spinal or neural foraminal stenosis. Overall unchanged.C3-C4: Small disc osteophyte complex, asymmetric to the left, slightly increased. Mild ligamentum flavum thickening and uncovertebral hypertrophy. Mild spinal canal narrowing may be slightly increased. Mild left neural foraminal stenosis is unchanged.C4-C5: Moderate central disc osteophyte complex is unchanged. Mild uncovertebral joint hypertrophy. No significant spinal canal stenosis. Moderate bilateral neural foraminal stenosis.C5-C6: Mild disc osteophyte complex is unchanged. Mild uncovertebral joint hypertrophy. No significant spinal canal stenosis. Moderate to severe bilateral neural foraminal stenosis.C6-C7: No significant spinal canal stenosis. Mild uncovertebral joint hypertrophy. Severe left and moderate right neural foraminal stenosis. C7-T1: No significant spinal or neuroforaminal stenosis.
Postsurgical changes of prior laminectomy. There is mildly increased disc disease at C3-C4 with a slightly increased disc osteophyte complex and spinal canal narrowing. Otherwise, cervical spine is similar to the prior exam, including mid cervical myelomalacia.