 Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. Loss of C5 and C6 marrow signal is consistent with sclerosis identified on prior CT. The cervical and upper thoracic cord are normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.The right submandibular gland is absent and the left submandibular gland is enlarged, although normal in density most likely representing hypertrophy.Soft tissue and osseous changes are again noted from previous laminoplasty. There are no postoperative fluid collections.C2/3: Mild degenerative changes without resulting stenosis, unchanged.C3/4: Postsurgical laminoplasty, posterior osteophyte disc complex, ligamentum flavum thickening, and bilateral uncinate hypertrophy (right greater left). There is no significant central stenosis. Moderate to severe left and moderate right neural foraminal stenosis is stable. C4/5: Postsurgical laminoplasty, posterior osteophyte disc complex, ligamentum flavum thickening, and bilateral uncinate hypertrophy. There is mild central central and moderate bilateral neural foraminal stenosis, stable. C5/6: Postsurgical laminoplasty, posterior osteophyte disc complex, ligamentum flavum thickening, and bilateral uncinate hypertrophy. There is no significant central stenosis. Moderate left and moderate to severe right neural foraminal stenosis, stable. C6/7: Postsurgical laminoplasty, posterior osteophyte disc complex, ligamentum flavum thickening, and bilateral uncinate hypertrophy. There is no significant central stenosis. Severe left and moderate to severe right neural foraminal stenosis, stable. C7/T1: Unremarkable and unchanged.
1.C3/4: Moderate to severe left and moderate right neural foraminal stenosis is stable. 2.C4/5: Mild central central and moderate bilateral neural foraminal stenosis, stable. 3.C5/6: Moderate left and moderate to severe right neural foraminal stenosis, stable. 4.C6/7: Severe left and moderate to severe right neural foraminal stenosis, stable. 