Status post ACDF Again seen is an anterior plate with screws entering the C4-C7 vertebrae with interposed intervertebral bone grafts at C4-C5, C5-C6, and C6-C7. There is a new anterior spacer device at C3-C4, without evidence of acute hardware complications. There is prevertebral soft tissue swelling and an anterior drain indicating recent surgery. There are carotid calcifications bilaterally.
Postoperative changes of ACDF as above.