 There is no acute cord compression.L4-L5 laminectomies are again noted. T1-T2 hyperintense focus in the L2 vertebral body is again compatible with a vertebral hemangioma. Degenerative disc disease is again seen, predominantly affecting the lower lumbar spine with severe bilateral neural foraminal narrowing at the level of L5-S1.Cervical spine MRI:Post surgical changes of cervical laminoplasty with laminectomies from C3 to C7 with spinous process resection is noted. Contrast enhancement and metallic artifact within the posterior soft tissues of the neck are presumably postsurgical. Retrolisthesis of C4 on C5 and C5 on C6 is unchanged. There are no fractures and 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. No areas of abnormal contrast enhancement are identified.C2/3: No significant neural foraminal or central canal stenosis.C3/4: Diffuse disc bulge results in mild central canal stenosis. Uncovertebral hypertrophy results in moderate left and mild right neural foraminal stenoses. These findings are unchanged from the prior study. C4/5: Disk osteophyte complex and ligamentum flavum hypertrophy results in mild central canal stenosis, improved from the prior study. There is again severe bilateral neural foraminal narrowing.C5/6: Disc osteophyte complex is present without significant central canal stenosis, improved from the prior study. Uncovertebral joint hypertrophy results in mild left and severe right neural foraminal stenoses.C6/7: Disc osteophyte complex causes moderate central canal stenosis, also improved from the prior study. Mildly T2 hyperintense right spinal cord at this level is favored to represent myelomalacia. Severe bilateral neural foraminal narrowing is unchanged.
1.No acute cord compression.2.Degenerative disc disease is again seen predominantly in the lower cervical spine with improved central canal stenosis from C4/5 through C6/7 when compared with the prior study. 