 There are stable postsurgical changes related to left C2-3 laminotomy, left C3-4 hemilaminectomy as well as left C7-T1 and T1-2 laminotomies. There is improved associated paraspinal soft tissue edema. However, superficial fluid has increased in the midline posterior paraspinous soft tissues along the surgical tract. A surgical drain terminates in the left paraspinal musculature at the level of C2.There has been apparent interval resolution of the fluid collection involving the ventral epidural space throughout the cervical and visualized upper thoracic spine. Lack of intravenous contrast does limit assessment for minimal residual abscess. There is no significant residual associated spinal canal stenosis or mass effect on the visualized spinal cord. No cord signal abnormality. Mild edema in the spinous processes of the cervical spine may be reactive. Mild multilevel degenerative changes are redemonstrated throughout the cervical spine with mild resultant multilevel neural foraminal stenoses, which is relatively worse at C3-4, right more than left, and to a lesser degree at the C4-5 and C5-6 levels. Vertebral body heights in the cervical spine are maintained. No suspicious osseous lesions. No findings to suggest discitis-osteomyelitis in the cervical spine.
1. Lack of contrast may limit evaluation for minimal residual abscess. There is however no significant residual fluid collection evident or residual mass effect on the cervical or upper thoracic cord. 2. Mild increase in subcutaneous fluid in the midline of the posterior paraspinous soft tissues along the surgical tract. Left paraspinal surgical drain remains in place.