Clinical question: Assess for cervical stenosis/myelopathy. Signs and symptoms: History of cervical laminectomy in 2006. Nonenhanced cervical MRI:Examination redemonstrated multilevel posterior laminectomy from C3 through C6 with resultant expansion of thecal sac and no evidence of central spinal stenosis at any level.Examination also redemonstrates a short segmental patchy foci of T2 hyperintensity decreased cord caliber consistent with myelomalacia at C4 level without interval change since prior exam.Foramen magnum is unremarkable.C2 -- C3 demonstrate moderate disk disease and loss of disk height, no central spinal stenosis and bilateral neural foraminal compromise without appreciable change since prior exam.C3 -- C4 demonstrate advanced disk disease with near complete loss of disk height, grade 1 retrolisthesis and no central spinal stenosis. Severe right and moderate left neural foraminal compromise without change since prior exam.C4 -- C5 demonstrate advanced disk disease, significant loss of disk height and suspected partial fusion at the disk level. Significant bilateral neural foraminal compromise and no central spinal stenosis. No appreciable interval change since prior exam.C5 -- C6 demonstrate advanced disk disease significant bilateral neural foraminal compromise and no central spinal stenosis.C6 -- C7 demonstrate moderate disk disease and loss of disk height, significant right and moderate left neural foraminal compromise and no central spinal stenosis. No appreciable interval change since prior exam.C7 -- T1 demonstrate advanced disk disease, mild to moderate bilateral ligamentum flavum hypertrophy, no convincing evidence of central spinal stenosis all of her significant bilateral neural foraminal compromise is noted. There is no appreciable interval change since prior exam.Similar to prior exam there is mild reversal of cervical lordosis centered at C6 level.
1.Postoperative changes of multilevel laminectomies from C3 through C6 without change since prior exam.2.No evidence of central spinal stenosis at any level and similar to prior exam.3.Short segmental myelomalacia and decreased cord caliber at C4 similar to prior exam.4.Multilevel bilateral neural foraminal compromise (some significantly) as detailed and without appreciable interval change since prior study.