 There has been prior anterior cervical fusion with diskectomy at C5, C6, and C7 including cortical screws within the vertebral bodies and bone plugs within C5/6 and C6/7.Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The cervical and upper thoracic cord are normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: UnremarkableC3/4: Posterior osteophyte disc complex and bilateral uncinate hypertrophy. There is mild left neural foraminal and moderate right neural foraminal stenosis.C4/5: Posterior osteophyte disc complex with a small central midline protrusion component. There is also mild left uncinate hypertrophy. There are no significant stenoses.C5/6: Surgically decompressed level with endplate spurring resulting in moderate right neural foraminal stenosis.C6/7: Surgically decompressed level with endplate spurring resulting in moderate bilateral neural foraminal stenosis.C7/T1: Trace anterolisthesis C7 on T1, minimal posterior osteophyte disc complex and bilateral facet hypertrophy. There is mild left neural foraminal stenosis.Sagittal imaging at T2/3 suggest the presence of a bulge versus protrusion which abuts the cord causing slight flattening, however without significant resulting central stenosis.
1.C3/4: Mild left neural foraminal and moderate right neural foraminal stenosis.2.C5/6: Moderate right neural foraminal stenosis.3.C6/7: Moderate bilateral neural foraminal stenosis.4.C7/T1: Mild left neural foraminal stenosis.