Left sided radicular pain X 2 months, status post ACDF at C6-7 in 2007, and T5-6 disc herniation. Cervical Spine: There are postoperative findings related to anterior fusion at C6 and C7. There is loss of the usual cervical lordosis, but no spondylolisthesis. There are small posterior disc-osteophyte complexes at C4 through C6 with effacement of the anterior thecal sac cerebrospinal fluid, but no spinal cord compression. In addition, uncovertebral hypertrophy results in mild right C3-4 and C5-6 neural foraminal narrowing. The vertebral body heights are preserved. Thoracic Spine: There is a small posterior disc-osteophyte complex at T5-6 that slightly indents the spinal cord. The spinal cord signal is otherwise unremarkable. Smaller posterior disc-osteophytes at T6 though T9 do not result in significant spinal canal stenosis at the other levels. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. There are scattered foci of focal fat and/or hemangioma in the vertebrae. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
1. Postoperative findings related to anterior fusion at C6 and C7 and multilevel degenerative spondylosis of cervical spine, including small posterior disc-osteophyte complexes at C4 through C6 with effacement of the anterior thecal sac cerebrospinal fluid, but no spinal cord compression, as well as uncovertebral hypertrophy that results in mild right C3-4 and C5-6 neural foraminal narrowing.2. A small posterior disc-osteophyte complex at T5-6 slightly indents the spinal cord. 