 There are postsurgical findings related to thoracic spinal decompression and posterior spinal instrumentation extending from T7-T12. There is are destructive changes involving T9 and T10 vertebrae with extension of material into the prevertebral space and into the spinal canal epidural space with apparent compression of the spinal cord. Otherwise, the lack of contrast and extensive susceptibility artifact related to the hardware render evaluation of these levels virtually nondiagnostic. The spinal canal superior and inferior to these operated levels is patent and the thoracic spine alignment is unchanged. Limited evaluation of the cervical spine on the sagittal counting sequence demonstrates postsurgical findings related to anterior cervical fusion at C5 to C6 and mild anterolisthesis of C5 on C6, as well as moderate spinal canal stenosis at this level. There is also multilevel degenerative spondylosis of the lumbar spine with Schmorl's nodes, fatty endplate signal alterations, and disc bulges and facet hypertrophy at L4-L5 and L5-S1 with moderate spinal stenosis at L4-L5 and apparent severe neural foramina narrowing at the level of L4-L5, as well as mild spinal stenosis at the level of L5-S1.
1. Postsurgical findings related to spinal canal decompression and instrumentation from T7 to T12 with destructive changes involving T9 and T10 vertebrae with extension of material that may represent hemorrhage and/or residual infected tissues into the prevertebral space and into the spinal canal epidural space with apparent compression of the spinal cord. Otherwise, the lack of contrast and extensive susceptibility artifact related to the hardware render evaluation of these levels virtually nondiagnostic. 2. Postsurgical changes of anterior cervical fusion at C5-C6 with mild anterolisthesis of C5 on C6.3. Degenerative changes of the lumbar spine, most severe at the level of L4-L5, although this is incompletely characterized.Discussed with Dr. Choi at 11:15 AM on 12/10/15.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.