History of C1-C2 schwannoma, status post resection Again seen are postoperative changes of laminectomy and tumor resection at the C1-C2 level. No discrete enhancing lesion is appreciated to suggest residual or recurrent tumor, although preoperative images would be helpful if available. There is small focus of T2 hyperintensity involving the cervical cord at the right lateral C2 level, much smaller than 5/15/2007 and compatible with myelomalacia. Cervical cord is otherwise unremarkable.Degenerative changes are again seen in the cervical spine. There is minimal retrolisthesis of C3 on C4 and mild anterolisthesis at C4-C5 to T1-2 similar to prior There are small disc osteophyte complexes throughout the cervical spine without significant spinal canal stenosis at any level. There is mild right C3-C4 and moderate left C4-C5 and left C5-C6 neural foraminal narrowing similar to prior. Prominent facet arthropathy on the left at C4-C5 noted. Vertebral body heights are normal. Bone marrow signal is benign. Paraspinous soft tissues demonstrate remote postsurgical changes but are otherwise unremarkable.
1. No findings to suggest tumor recurrence.2. Punctate T2 hyperintensity in the cervical cord at the right lateral C2 level compatible with myelomalacia and much smaller/evolved since 5/15/2007.3. Degenerative changes in the cervical spine appear similar to prior without significant spinal canal stenosis at any level. Neural foraminal narrowing as above.