History of bilateral upper extremity radiculopathy. History of PSF, L4-S1. Arthritis? DJD? Cervical spine: The cervicothoracic junction is not well visualized on the lateral view due to overlying anatomy. Moderate degenerative disc disease affects C6/7. There is also moderate multilevel facet joint osteoarthritis and neuroforaminal narrowing particularly affecting the lower cervical levels, better delineated on the recent MRI examination.Lumbar spine: There are posterior rods with screws entering L5 and S1. I see no hardware complications. There appears to be interbody bony bridging at between the L5 and S1 vertebrae. Mild degenerative disc disease affects L4/5. Facet joint osteoarthritis affects the lower lumbar spine, with mature bone graft along the lower lumbar levels. Vertebral body heights are preserved. There is a grade 1 anterolisthesis of L4.
1.Degenerative disc disease, facet joint osteoarthritis and neuroforaminal narrowing of the cervical spine as above.2.Orthopedic fusion of the lower lumbar spine and other findings as above.