Cervical tenderness, right upper extremity weakness There are postsurgical changes of cervical laminectomies and posterior spinal fusion extending from the C3 to the C7 levels. Spinal canal is well decompressed throughout. No abnormal cord signal is appreciated, within the limitations of susceptibility artifact from patient's spinal hardware. Vertebral body heights are maintained. There is straightening of the cervical spinal curvature. Post gadolinium images demonstrate no abnormal enhancement. Degenerative changes are seen in the cervical spine as described below:C2-3: No significant compromise to the spinal canal or right neural foramen. There is mild left-sided neural foraminal stenosis related to facet arthropathy.C3-4: No significant compromise to the spinal canal or neural foramina.C4-5: No significant compromise to the spinal canal or neural foramina.C5-6: Small disc osteophyte complex. No significant compromise to the spinal canal. There is mild to moderate right and mild left neural foraminal stenosis related to uncovertebral hypertrophy.C6-7: Small disc osteophyte complex. No significant compromise to the spinal canal. There is moderate to severe right and moderate left neural foraminal stenosis related to uncovertebral hypertrophy. C7-T1: Minimal disc bulge. No spinal canal stenosis. There is up to moderate right neural foraminal narrowing. Left neural foramen is patent.Paraspinous soft tissue structures appear within normal limits aside from postsurgical changes. No masses or fluid collections.
1. Postsurgical changes of laminectomy and posterior spinal fusion from C3 to C7. Spinal canal remains patent. No cord signal abnormality is evident.2. Suboptimal evaluation of the neural foramina due to susceptibility artifact from hardware. There are multilevel degenerative changes with neural foraminal stenosis at the C6-C7 and to a lesser degree C5-C6 and C7-T1 levels on the right. If clinically indicated, CT may be helpful to assess the hardware and the bony neural foramina given the mild limitations due to the hardware. Please see additional details above.