Recurrent right upper extremity and shoulder pain Again seen are postoperative changes of anterior cervical discectomy and fusion at C6-C7. Hardware is better assessed on recent CT.Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.Individual levels as described below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: No significant compromise to the spinal canal or neural foramina.C4-5: Mild narrowing of the neural foramina related to uncovertebral hypertrophy. No significant spinal canal stenosis.C5-6: There is mild to moderate right-sided and mild left neural foraminal stenosis related to uncovertebral hypertrophy. No spinal canal stenosis.C6-7: Postoperative changes of anterior fusion. No evidence of recurrent disc herniation. Neural foramina are patent. No significant spinal canal stenosis.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. Postoperative changes of ACDF at C6-C7 without evidence of recurrent disc herniation at this level. 2. Mild degenerative changes including mild to moderate narrowing of the right C5-C6 neural foramen and mild narrowing of the bilateral C4-C5 and left C5-C6 neural foramina related to uncovertebral hypertrophy.