Male 42 years old Reason: eval for neurocompressive pathology History: LUE radiculopathy, prior C6/7 acdf The craniovertebral junction appears within normal limits. The cervical spine alignment is maintained. There are postsurgical changes of anterior cervical discectomy and fusion at the C6-7 level with degenerative loss of height of the C5 vertebral body. There is variable disc desiccation within the cervical spine with mild loss of disc height and anterior disc osteophyte formation at the C5-6 level. The cervical spinal cord has normal signal characteristics and overall morphology. The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.Degenerative changes are seen in the cervical spine as described below:C2-3: Tiny disc protrusion. No spinal canal or neuroforaminal stenosis.C3-4: Small disc osteophyte complex and tiny disc protrusion. Mild facet arthropathy. No spinal canal or neural foraminal stenosis.C4-5: Small right greater than left disc-osteophyte complex. Mild facet arthropathy. Mild right neuroforaminal narrowing. No left neuroforaminal or spinal canal stenosis.C5-6: Moderate left greater than right disc osteophyte complex and moderate left uncovertebral hypertrophy. Moderate facet arthropathy. Moderate to severe left and mild to moderate right neuroforaminal stenosis. Mild spinal canal stenosis. C6-7: Postsurgical changes of the ACDF without significant spinal canal or neural foraminal stenosis.C7-T1: Small disc osteophyte complex and central disc protrusion without significant spinal canal or neural foraminal stenosis.Sagittal T1-T2 and T2-T3: No spinal canal nor foraminal stenosis.
Postsurgical changes of a prior ACDF at the C6-7 level with degenerative changes most prominent at the C5-6 level where there is moderate to severe left and mild-to-moderate right neural foraminal stenosis as well as mild spinal canal stenosis.