Evaluate for cord compression, myelopathic symptoms, prior ACDF. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Schmorl's node involving the superior endplate of T3 is again seen. Alignment is maintained. Bone marrow signal is benign. Again seen are postsurgical changes of ACDF at the C5-C6 level with solid osseous fusion. There is no obvious cord signal abnormality, although motion degradation on the STIR and T2 sequences limit optimal evaluation.There is developmental narrowing of the cervical spinal canal with superimposed degenerative changes as described below: C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: There is a disc osteophyte complex which is associated with mild to moderate spinal canal stenosis. There is moderate right neural foraminal stenosis related to uncovertebral hypertrophy. Left neural foramen is patent. No significant change since prior.C4-5: There is a disc osteophyte complex which is associated with moderate spinal canal stenosis. There is uncovertebral hypertrophy with with moderate to severe right-sided neural foraminal stenosis. There is mild left neural foraminal stenosis. No significant change since prior.C5-6: No significant compromise to the spinal canal. There is mild right and minimal left neural foraminal narrowing. C6-7: Previous seen left-sided disc extrusion has decreased with mild residual effacement of the left ventral thecal sac. There is no significant spinal canal stenosis at this level. Minimal narrowing of the neural foramina.C7-T1: No significant compromise to the spinal canal or neural foramina. Right-sided facet arthropathy.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. Multilevel degenerative changes in the cervical spine with mild to moderate C3-C4 and moderate C4-C5 spinal canal stenosis, which is similar to prior from 2/27/2015. 2. Prior ACDF at C5-C6 with solid osseous fusion.3. Neural foraminal stenosis at multiple levels, worst at the right C4-C5 level.4. Previously seen disc extrusion at the left C6-C7 level has nearly resolved.