Neck pain with history of cervical spinal fusion. Six views of the cervical spine demonstrate normal alignment. An anterior plate device is present with screws entering C4, C5, and C6 with associated interbody bone graft material at C4-C5 and C5-C6. There is moderate-severe loss of disc height at C5-C6. Bilateral, multilevel neuroforaminal narrowing affects the mid and lower cervical spine better assessed on prior MRI.Four views of the lumbar spine are provided. As described on 7/7/2015 MRI, please note that there are only 4 lumbar type vertebra present with accounting from C2 inferiorly. As result, the lumbosacral junction will be labeled L4-S1. There is once again grade 2 anterolisthesis of L4 on S1 with associated spondylolisthesis but without evidence of instability on the flexion and extension views. Moderate-severe degenerative disc disease affects L4-S1 with mild degenerative changes of the remaining lumbar levels. Vertebral body heights and disc spaces are otherwise preserved.
1.Please note that there are only 4 lumbar-type vertebrae present as described on 7/7/2015 lumbar spine MRI. As a result, the lumbosacral junction will be labeled as L4-S1.2.Anterior cervical fusion as described above.3.Stable appearing grade 2 anterolisthesis of L4 on S1.