Status post cervical laminoplasty. Evaluate healing of hinge of the lamina. History of breast cancer and stenosis. Reformatted images of the cervical spine demonstrates extensive degenerative changes of cervical spine with slight reversal cervical lordosis. There is no definitive evidence of any destructive bony lesion. However irregular and sclerotic lesion within the right aspect of vertebral body of T3 which also involves the right pedicle, a sclerotic and lytic changes of the right aspect of vertebral body of T1 and sclerotic changes of the right aspect of C6 are noted. There are no prior CT examinations of the cervical spine or an MRI examination of cervical spine for comparison.Considering the provided clinical date of possibility of a sclerotic met cannot be ruled out. Some of these lesions have the appearance of a capillary skeletal hemangioma.Foramina magnum. Examination of this level is unremarkable.C2 -- C3.Degenerative changes are noted in mild compromise of left neural foramina is suspected. Broad-based bulging of disk material is in contact with ventral aspect of the cord and borderline central spinal stenosis is suspected.C3 -- C4.Degenerative disk disease and slight bulge of disk material is noted. There is evidence of left sided laminectomy with no evidence of laminoplasty. Left neural foramina appears widely compromise secondary to degenerative changes. A very small metallic density is noted within the right inferior articulating facet. C4 -- C5.Left-sided laminectomy of C5 with no evidence of laminoplasty. Small metallic density within the inferior facet of C5 on the right is also noted.C5 -- C6.Left-sided laminectomy but no evidence of laminoplasty. A small metallic fragment within the inferior facet of C6 on the right. Degenerative changes are noted.C6 -- C7.Exam of the stomach is unremarkable. No evidence of any fixating devices or bony graft is detected.
1.Extensive areas of sclerotic bony changes as detailed above. Concerning for metastases lesions or treated metastatic lesion. No prior MRI of cervical spine or CT of cervical spine for comparison.2.Multi-level laminectomies on the left with no areas of laminoplasty.3.Small metallic densities within the inferior facets of C4, C5 and C6. Correlate with prior surgical intervention. 