Evaluate for fractures in anticipation of surgery. ESRD on dialysis. There is loss of vertebral body height at C4 and mild posterior subluxation of C4 on C5. There is prevertebral soft tissue swelling with T2 signal hyperintensity.The cervical spinal cord has normal signal characteristics and overall morphology.At C2-3 there is no significant compromise to the spinal canal or neural foramina. There is T2 signal hyperintensity along the C3 vertebral body.At C3-4 there is no significant compromise to the spinal canal or neural foramina. There is T2 signal hyperintensity along the C3 vertebral body. The endplates are irregular at this level and there is adjacent bone T2 signal hyperintensity. There are small uncovertebral osteophytes at this level. There is mild narrowing of the right neural foramen.At C4-5 there is increased T2 disk signal associated with increased C4 and C5 vertebral body signal on T2 imaging. There are bilateral uncovertebral osteophytes and end plate osteophytes at this level. There is loss of disk space height. The endplates are irregular. There is loss of vertebral body height at C4 and mild posterior subluxation of C4 on C5. There is narrowing of the spinal canal with mild spinal stenosis and moderate bilateral exiting nerve root encroachment within the neural foramina. There is T2 signal hyperintensity along the interspinous ligaments.At C5-6 there is no significant compromise to the spinal canal. There are bilateral uncovertebral osteophytes (right more than left) and end plate osteophytes at this level. There is loss of disk space height. There is encroachment of right exiting nerve roots. The right side of the endplates are irregular at this level and there is adjacent bone T2 signal hyperintensity. There is T2 signal hyperintensity along the interspinous ligaments.At C6-7 there is no significant compromise to the spinal canal. There are bilateral uncovertebral osteophytes (left more than right) and end plate osteophytes at this level. There is loss of disk space height. There is encroachment of left sided exiting nerve roots.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The left vertebral artery flow void is partly obscured.
1.Findings suggest dialysis related spondyloarthropathy at C3-4, C4-5 and the left side at C5-6 which appears worse at C4-5. The possibility of superimposed diskitis cannot be excluded. Please correlate with clinical findings.2.There is prevertebral soft tissue swelling present which is non-specific but could be inflammatory in nature.3.Degenerative changes are assocated with encroachment of exiting nerve roots on the left at C6-7, on the right at C5-6 and bilaterally at C4-54.Findings suggests left vertebral artery occlusive disease.