Female, 55 years old, with neck pain, cervical spondylosis and myelopathy. Since the prior examination, anterior instrumented fusion has been performed from C4 through C7.Spinal alignment is anatomic. Where not obscured by the presence of orthopedic instruments, the morphology and signal characteristics of the vertebral bodies are within normal limits.The visualized spinal cord demonstrates normal signal intensity and morphology.C2-3: No spinal canal stenosis or neuroforaminal narrowing. C3-4: Progression of right facet hypertrophy. Progression of posterior disc osteophyte and right uncovertebral hypertrophy. The right lateral aspect of the spinal canal is effaced to a greater degree than on the prior examination. The right neural foramen is also narrowed to a greater degree. C4-5: Improvement in the previously seen right paracentral disc protrusion. No significant spinal canal stenosis. No significant neuroforaminal narrowing.C5-6: Mild disc osteophyte formation/uncovertebral hypertrophy appearing similar to prior. Mild lateral recess encroachment but no significant generalized spinal canal stenosis. Mild bilateral foraminal narrowing is unchanged. C6-7: Mild disc osteophyte and uncovertebral hypertrophy more so on the right, unchanged. No significant generalized spinal canal stenosis. Mild right foraminal narrowing is unchanged. C7-T1: No spinal canal stenosis or neuroforaminal narrowing. A small disc protrusion at T2-3 appears similar to priorA 12 mm T2 hyperintense lesion within the right thyroid lobe is unchanged.
1.Interval anterior instrumented fusion from C4 through C7.2.Improvement in the previously seen right paracentral disc protrusion at C4-5.3.Progression of right-sided uncovertebral and facet hypertrophy at C3-4 with slightly progressed narrowing of the right lateral recess and right neural foramen.4.No significant change in degenerative findings at other levels as above.