Female, 65 years old, with neck pain. Assess for stenosis or disk herniation. Evidence of instrumented anterior spinal fusion is seen from C5 to C6. The cervical lordosis is straightened at the fused levels but alignment is otherwise unremarkable.Vertebral body pathology is within normal limits allowing for surgical changes at C5-C6. No concerning marrow signal abnormality is detected.Spinal cord morphology is unremarkable except as discussed below.C2-3: Minimal central disk protrusion. No significant spinal canal or foraminal stenosis. C3-4: Minimal central disk protrusion. No significant spinal canal or foraminal stenosis. C4-5: Broad posterior disk osteophyte complex. Moderate generalized spinal canal stenosis with flattening of the ventral cord. No cord signal abnormality. Moderate bilateral foraminal narrowing. C5-6: Surgical fusion across the disk space. No significant spinal canal or foraminal stenosis. C6-7: Posterior disk osteophyte complex asymmetric towards the left. Moderate generalized spinal canal stenosis with flattening of the ventral cord. No cord signal abnormality. Mild left foraminal narrowing. C7-T1: Mild posterior disk osteophyte complex. No significant spinal canal or foraminal stenosis.
1. Evidence of instrumented anterior spinal fusion across C5 and C6.2. Posterior disk osteophyte complexes at C4-5 and at C6-7 cause moderate canal stenoses with deformation of the spinal cord but no evidence of cord edema.