 There is 3 mm grade 1 anterolisthesis of C7 on T1, T1 on T2, and to a lesser degree at T2 on T3. The remainder of the cervical spine is in normal alignment, with exaggeration of the normal cervical lordosis. There is mild disc narrowing at C3-C4, C5-C6, and C7-T1, as well as moderate disc narrowing at C6-C7. The vertebral body and disk heights are otherwise well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal.At C2-C3, there is a shallow central disc protrusion without stenosis.At C3-C4, there is a mild posterior osteophyte disk complex with mild left facet arthropathy as well as uncovertebral hypertrophy. There is mild to moderate left foraminal narrowing.At C4-C5, there is a trace disc bulge diffusely with mild central spinal canal stenosis. There is mild-moderate left and moderate-severe right foraminal narrowing as well.At C5-C6, there is a mild diffuse posterior osteophyte disk complex with right foraminal prominence. There is mild central spinal canal stenosis as well as moderate right and mild-moderate left foraminal narrowing.At C6-C7, there is uncovering of the disc with a diffuse posterior osteophyte disk complex which demonstrates right paracentral/foraminal prominence. There is minimal central spinal canal stenosis. Bilateral ligamentum flavum thickening and right side uncovertebral hypertrophy is noted. There is mild left foraminal narrowing.At C7-T1 and T1-T2, there is uncovering the disc without stenosis.At T2-T3, there is uncovering of the disc with a superimposed shallow central disc protrusion without stenosis.There is moderate right and minimal left mastoid air cell fluid opacification. Extensive postoperative changes are partially visualized along the right neck, with multiple foci of susceptibility which may relate to subcutaneous emphysema, blood products, or metallic clips. A drain is identified along the operative site extending posteriorly.Images are significantly limited by patient motion. In addition, there are areas of prominent susceptibility relating to postoperative change. The cervical plexus and brachial plexus are visualized. There are no masses, focal fluid collections, or significant lymphadenopathy identified. A discrete right level 2A lymph node measures 8 mm in length. There are no compressive masses demonstrated. There is no axillary lymphadenopathy. While the left brachial plexus is unremarkable, there is abnormal STIR hyperintensity and subtle enhancement along the slightly thickened right C5 nerve root, as seen on 4/18 and 17/17-21. The nerve is difficult to follow more distally once in the vicinity of the postoperative change.
1.Moderate scattered cervical spondylotic changes with up to moderate-severe right foraminal narrowing at C4-C5.2.No focal fluid collection or mass along the brachial plexus bilaterally, although evaluation is limited due to surrounding postoperative changes. Apparent subtle STIR hyperintensity and enhancement along the slightly thickened right C5 nerve root suggesting mild inflammatory changes perhaps in part relating to the distal postoperative change as well as possibly from the foraminal narrowing.