 The study is limited secondary to motion especially in the upper cervical region.The mild abnormal cord signal at C3-C4 level with mild decreased caliber of the cord appears stable from prior exam. An area of myelomalacia centered at C5-C6 with cord thinning is also unchanged. The signal intensity and caliber of the rest of the cord is otherwise unremarkable. There is evidence of instrumented anterior cervical fusion at C5-C6 with osseous fusion. Vertebral body heights and alignment are unremarkable. There is revisualization of slight straightening of cervical lordosis similar to prior exam.C2-C3: Stable small posterior disk osteophyte complex with minimal bilateral neural foraminal compromise, unchanged since prior study. There is no cervical canal narrowing at this level.C3-C4: Demonstrates large posterior disk osteophyte complex with bilateral uncovertebral joint hypertrophy. There is resultant significant compromise of bilateral neural foramina and at least moderate central spinal stenosis which may have slightly progressed since the prior examination. A hyperattenuating on T1 and T2 lesion is seen within the C4 vertebral body that is consistent with hemangioma.C4-C5: Demonstrates large posterior disk osteophyte complex with bilateral uncovertebral joint hypertrophy. There is moderate narrowing of bilateral neural foramina, unchanged compared to the prior examination. There is no spinal canal stenosis.C5-C6: There is complete fusion of the disk space and placement of fixating screws at C6 and C7. There is no spinal canal stenosis. There is stable moderate left and mild right compromise of neural foramina at this level. Not significantly changed since prior study.C6-C7: Demonstrate mild to moderate degenerative disk disease with resultant mild compromise of bilateral neural foramina and no significant central spinal stenosis.C7-T1: Mild degenerative changes changes with disc osteophyte complex and small central protrusion without significant central canal or neural foraminal narrowing.Partially visualized upper thoracic cord and spine to T3 level is unremarkable.
1. Stable myelomalacia at C3-C4 and C5-C6 level. No new cord lesions are seen.2. Spondylotic changes, perhaps minimally progressed at C3-4, elsewhere stable, and post-operative findings of the cervical spine as described above.