Neck and back pain with bilateral lower extremity numbness. Cervical: There are postsurgical changes of anterior cervical fusion from C5 to T1 with anterior plate, screws, and interbody graft. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate height. Alignment is grossly maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.Degenerative changes are seen in the cervical spine as described below:C2-3: Small central disk protrusion, uncovertebral hypertrophy, and facet arthropathy. There is mild to moderate right and minimal left neural foramina stenosis. No significant compromise to the spinal canal.C3-4: Minimal disk bulge. There is mild to moderate right and moderate to severe left neural foramina stenosis related to prominent osteophyte related to facet arthropathy and uncovertebral hypertrophy. No significant spinal canal stenosis.C4-5: Minimal disk bulge. There is moderate to severe right and moderate left neural foramina stenosis related to uncovertebral hypertrophy and bilateral facet arthropathy. No significant spinal canal stenosis.C5-6: There is mild right neural foramina stenosis. No significant spinal canal or left neural foramina narrowing.C6-7: Mild bilateral neural foraminal narrowing. No significant spinal canal narrowing.C7-T1: No significant spinal canal or neural foramina narrowing.Paraspinous soft tissue structures appear within normal limits.Thoracic:Vertebral body heights and alignment are normal. Bone marrow signal is within normal limits. Mild degenerative changes are seen.At T1-T2, there is moderate left neural foraminal stenosis related to ligamentum flavum thickening and facet arthropathy. No significant spinal canal or right neural foraminal narrowing.There is mild bilateral neural foramina stenosis at T9-T10, worse on the right. There is a mild disk bulge at T10-T11 without significant spinal canal stenosis. There is also moderate right and mild left neural foramina stenosis at T10-T11.Apparent subtle T2 hyperintensity on the axial sequence in the lower thoracic cord and conus is most likely artifactual and not seen on the sagittal T2 or stir sequence. No convincing cord signal abnormality is seen. Paraspinous soft tissues unremarkable.
1. Status post anterior fusion C5-T1with solid osseous fusion as seen on radiographs.2. Up to moderate to severe neural foraminal narrowing at C2-C3, C3-C4, and C4-C5 as detailed above.3. No significant cervical spinal canal stenosis or cord signal abnormality. 4. Neural foramina narrowing on the left at T1-T2 and at T9-T10 and T10-T11 as detailed above.5. No cord signal abnormality or significant spinal canal stenosis in the thoracic spine.