Female, 66 years old, with arm pain. Surgical instrumentation is again seen compatible with an anterior fusion spanning from C4 through C6. Spinal alignment is straightened, similar to prior. Vertebral body heights are preserved and, where not obscured by metal artifact, the marrow signal is within normal limits.T2 hyperintensity and thinning of the cord at the C4 level appears similar to the prior examination and is compatible with myelomalacia. Elsewhere, spinal cord signal and morphology are within normal limits.C2-3: Minimal disc osteophyte formation. No significant spinal canal or foraminal stenosis. No interval changes.C3-4: Posterior disc-osteophyte complex formation resulting in a moderate generalized spinal canal stenosis, unchanged from prior. No significant foraminal narrowing. C4-5: Postoperative findings. No significant spinal canal or foraminal stenosis. No interval changes. C5-6: Postoperative findings. No significant spinal canal or foraminal stenosis. No interval changes. C6-7: Minimal posterior disc-osteophyte complex formation. No significant spinal canal or foraminal stenosis. No interval changes. C7-T1: Unremarkable.
1.Redemonstration of findings related to anterior instrumented cervical fusion from C4 through C6.2.Moderate spinal canal stenosis at C3-4 is unchanged.3.Evidence of myelomalacia at C4 is unchanged.4.No significant interval changes and no additional areas of significant spinal canal or foraminal stenosis.