62-year-old female with worsening neck pain after falling in 2/2016. She also has gait imbalance. Axial sequences are degraded secondary to patient motion. Given this caveat:There are no fractures or subluxations. 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.Complete loss of disc space with vertebral body osseous fusion at C6/7 is consistent with a history of prior neck surgery, and is stable in appearance.At the C2-C3 level, bilateral facet hypertrophy is evident which causes mild right neural foraminal stenosis, unchanged.At C3-C4, there is moderate narrowing of the left neural foramen secondary to bony degenerative changes, unchanged. At C4-C5, there is mild narrowing of the right foramen secondary to bony degenerative changes. Small posterior osteophyte causes minimal effacement of the thecal sac but no deformity of the cord or central stenosis. These findings are unchanged.At C5-C6, there is a large osteophyte eccentric to the right of midline with some flattening of the right side of the cord as well as narrowing of the neural foramen bilaterally secondary to bony degenerative changes. There is mild to moderate central stenosis, moderate to marked left neural foraminal stenosis, and mild right neural foraminal stenosis. These findings are unchanged. At the C6-C7 postoperative level, there is no evidence of central or foraminal stenosis, unchanged.At C7-T1, no evidence of central or foraminal stenosis, unchanged.
1.C2-C3: Mild right neural foraminal stenosis, unchanged.2.C3-C4: Moderate narrowing of the left neural foramen, unchanged. 3.C4-C5: Mild narrowing of the right foramen, unchanged.'4.C5-C6: Mild to moderate central, moderate to marked left neural foraminal stenosis, and mild right neural foraminal stenosis, unchanged.