Reason: hx ACDF- eval for abnormality or resolution History: continued spasticity The cervical vertebral bodies are appropriate in overall alignment and height. There is multilevel disk desiccation present The patient is status post anterior fusion at C3-4. There is a signal hyperintensity within the spinal cord at the C3-4 level associated with volume loss suggesting cord myelomalacia.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal. There is a disk bulge present at this level with mild narrowing of the neural foramina. There is posterior ligamentous hypertrophy at this level.At C6-7 there is no significant compromise to the spinal canal. There is a endplate osteophyte formation present at this level associated with uncovertebral osteophytes and encroachment of the left sided exiting nerve roots it does has been previously present and is unchanged. There is posterior ligamentous hypertrophy at this level.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. The left vertebral artery is large raise the right vertebral artery is small and hypoplastic distally.
1.There is cord myelomalacia present at the C3-4 level.2.Status post recent anterior fusion at C3-4.