 Changes from ACDF and corpectomy are evident at C6/7. Edematous discogenic reactive endplate changes (Modic type I) are also noted at C6/7. Fatty discogenic reactive endplate changes (Modic type II) are noted elsewhere.There are no fractures or subluxations. The marrow signal is benign. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: Endplate spurring asymmetric to the right and mild right facet hypertrophy cause mild right neural foraminal stenosis.C3/4: Posterior osteophyte disc complex and bilateral uncinate hypertrophy. There is moderate to severe left and moderate right neural foraminal stenosis.C4/5: Posterior osteophyte disc complex asymmetric to the right and bilateral uncinate hypertrophy. There is flattening of the anterior right hemicord without intrinsic cord signal abnormality. There is mild central, moderate to severe left neural foraminal, and severe right neural foraminal stenosis.C5/6: Posterior osteophyte disc complex and bilateral uncinate hypertrophy. There is severe left neural foraminal and moderate right neural foraminal stenosis.C6/7: Posterior osteophyte disc complex and bilateral uncinate hypertrophy. There is mild focal cord atrophy with associated intrinsic cord T2 signal hyperintensity consistent with myelomalacia. There is mild central, moderate to severe left neural foraminal, and mild right neural foraminal stenosis.C7/T1: Unremarkable
1.C2/3: Mild right neural foraminal stenosis.2.C3/4: Moderate to severe left and moderate right neural foraminal stenosis.3.C4/5: Mild central, moderate to severe left neural foraminal, and severe right neural foraminal stenosis.4.C5/6: Severe left neural foraminal and moderate right neural foraminal stenosis.5.C6/7: Mild focal cord atrophy with associated intrinsic cord T2 signal hyperintensity is consistent with myelomalacia. There is mild central, moderate to severe left neural foraminal, and mild right neural foraminal stenosis.