 There are postoperative changes of anterior fusion from C5 to C7. Metallic susceptibility artifact from fusion hardware mildly limits evaluation at these levels. There is loss of the normal cervical lordosis. The vertebral bone marrow signal is unremarkable, aside from endplate degenerative signal alterations at C7-T1. There is diffuse narrowing of the spinal canal, particularly at C5 through C7, where the posterior vertebral bodies abut the spinal cord. In addition, there is multilevel degenerative spondylosis, For example, at C3-4, there are bilateral neural foraminal disc-osteophyte complexes and left facet hypertrophy with moderate right and severe left neural foraminal stenosis, and at C7-T1, there are bilateral neural foraminal disc-osteophyte complexes that result in severe neural foraminal stenosis bilaterally. The spinal cord displays normal signal. There is diffuse fatty atrophy of the left paraspinal muscles. The vertebral artery flow voids are intact. There is fluid within the mastoid air cells, greater on the right.
1.Postoperative changes of anterior fusion from C5 to C7 with diffuse narrowing of the spinal canal, particularly at C5 through C7, where the posterior vertebral bodies abut the spinal cord. 2.The degenerative spondylosis appears to have progressed, including bilateral neural foraminal disc-osteophyte complexes and left facet hypertrophy C3-4 with moderate right and severe left neural foraminal stenosis and bilateral neural foraminal disc-osteophyte complexes at C7-T1 that result in severe neural foraminal stenosis. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.