 There has been previous ACDF at C5 and C6 as well as C3-C6 laminectomy. Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C1/2: Ligamentum flavum thickening causes slight flattening of the posterior cervical cord without intrinsic cord signal abnormality or resulting central stenosis.C2/3: Mild posterior osteophyte disc complex without stenosis.C3/4: Osteophyte disc complex and bilateral uncinate hypertrophy cause moderate left neural foraminal and mild-to-moderate right neural foraminal stenosis.C4/5: Posterior osteophyte disc complex, bilateral uncinate hypertrophy, left facet hypertrophy, and findings suggestive of incorporated bone graft material adjacent to the left lamina. T2 hyperintensity is noted within the cord with slight associated focal atrophy of myelomalacia. There is no central stenosis however there is severe left neural foraminal and moderate to severe right neural foraminal stenosis.C5/6: Minimal posterior osteophyte disc complex, left facet hypertrophy, and findings suggestive of incorporated bone graft material adjacent to the left lamina. T2 hyperintensity is noted within the cord with slight associated focal atrophy or myelomalacia. There are no significant stenoses.C6/7: Minimal posterior osteophyte disc complex, minimal bilateral uncinate hypertrophy, left facet hypertrophy, and findings suggestive of incorporated bone graft material adjacent to the left lamina. There are no significant stenoses.C7/T1: Right facet hypertrophy encroaches the right neural foramen causing mild right neural foraminal stenosis.Facet hypertrophy of the visualized upper thoracic levels encroach the neural foramina bilaterally.
1.There has been previous ACDF at C5 and C6 as well as C3-C6 laminectomy.2.C3/4: Moderate left neural foraminal and mild-to-moderate right neural foraminal stenosis.3.C4/5: T2 hyperintensity is noted within the cord with slight associated focal atrophy of myelomalacia. There is severe left neural foraminal and moderate to severe right neural foraminal stenosis.4.C5/6: T2 hyperintensity is noted within the cord with slight associated focal atrophy or myelomalacia. There are no significant stenoses.5.C7/T1: Mild right neural foraminal stenosis.6.Facet hypertrophy of the visualized upper thoracic levels encroach the neural foramina bilaterally. If the patient is experiencing symptoms referable to the thoracic spine, a dedicated thoracic MRI could be obtained if deemed clinically beneficial.