Male, 69 years old, with right-sided cervical radiculopathy. Evidence of anterior spinal fusion is again seen from C3 through C6. Marrow signal is not well assessed through this region due to metallic artifact. Elsewhere, no concerning marrow replacement or marrow edema is seen.A trace anterolisthesis of C2 relative to C3 is noted and this may be new from the prior examination. Spinal alignment is otherwise unremarkable.The visualized spinal cord demonstrates normal signal and morphology throughout.C2-3: Right facet hypertrophy. Mild disc osteophyte formation, improved from prior. No significant spinal canal stenosis. No significant foraminal narrowing. C3-4: Facet hypertrophy. At least partial fusion across the disc space. Mild osteophytic ridging along the endplates. No significant spinal canal stenosis. Mild bilateral foraminal narrowing, similar on the right and perhaps slightly progressed on the left compared to prior. C4-5: Facet hypertrophy. Posterior disc-osteophyte complex formation asymmetric to the left paracentral zone, slightly more prominent than on the prior exam. Mild effacement of the left ventral thecal sac but no significant generalized spinal canal stenosis. Mild bilateral foraminal narrowing similar to prior. C5-6: Facet hypertrophy. At least partial fusion across the disc space. Mild left paracentral osteophytic spurring from the endplates without significant interval change. Mild narrowing of the left ventral thecal sac also unchanged. No significant generalized canal stenosis. Mild to moderate left foraminal narrowing, unchanged. C6-7: Facet hypertrophy. Minimal disc osteophyte formation. No significant generalized spinal canal stenosis. Mild bilateral foraminal narrowing. No significant interval changes. C7-T1: Facet hypertrophy. Very small central disc protrusion. No significant spinal canal stenosis or foraminal narrowing. No interval changes. Absence of the right vertebral artery flow void is noted, a new finding when compared to the prior examination. The left vertebral artery flow void is visualized throughout.
1.Redemonstration of postoperative findings compatible with anterior instrumented fusion from C3 through C6.2.Redemonstration of multilevel disc and posterior element degeneration. No areas of significant or marked worsening are suspected. There may be slight progression of mild foraminal narrowing on the left at C3-4, and perhaps a slightly progressed disc osteophyte at C4-5 but without significant spinal canal narrowing.3.Absence of the right vertebral artery flow-void is a new finding when compared to the prior examination. This could represent either slow flow or occlusion. If clinical concern warrants, this can be further evaluated with dedicated vascular imaging.