 The cervical spine is in normal alignment, with straightening of the normal cervical lordosis. The vertebral body heights are well-maintained. There is multilevel disc narrowing, most conspicuous at C4-C5 where it is moderate-severe in degree. There is increased ventral disc bulge at C5-C6. Ventral osteophytes are again noted. No worrisome focal marrow signal abnormality is appreciated. There is redemonstration of abnormal signal social with the right T1 vertebral body extending into the posterior elements with mild pedicular expansion, consistent with a known intraosseous hemangioma. The spinal cord is of normal caliber and signal.At C2-C3, there is no significant disk pathology or stenosis.At C3-C4, there is slight increased prominence of a central disk extrusion migrating cranially by 3 mm. There is overall moderate-severe central spinal canal stenosis with indentation of the ventral cord.At C4-C5, there is a mild posterior osteophyte disk complex with moderate-severe central spinal stenosis, with slight further effacement of CSF space within the thecal sac. There is bilateral uncovertebral hypertrophy contributing to moderate-severe right greater than left foraminal narrowing.At C5-C6, there is a stable posterior osteophyte disk complex with bilateral uncovertebral hypertrophy, with slightly progressed now moderate-severe central spinal stenosis as well as moderate-severe right greater than left foraminal narrowing.At C6-C7, there is a minimal posterior osteophyte disk complex, with moderate left and mild-moderate right foraminal narrowing. There is mild central spinal stenosis.At C7-T1, there is a stable trace disk bulge. There is mild ligamentum flavum thickening. Mild bilateral foraminal stenosis is present.LUMBAR SPINE
1.Slight progression of cervical spondylotic changes as detailed above with further effacement of CSF space sac, with moderate severe central spinal canal stenosis from C3-C4 through C5-C6 although scattered high-grade foraminal narrowings do not appear significant changed.2.Limited evaluation of the lumbar spine due to artifact from postoperative changes, although no significant interval change is appreciated. No high-grade central spinal canal stenosis at any level.3.Trace fatty filum again questioned which can be an incidental finding although has been associated with tethered cord. Please correlate clinically.