Male, 43 years old, with numbness and tingling down the left arm. Suspected cervical radiculopathy at C5-6. Anterior instrumented spinal fusion has been performed from C5 through C7. Spinal alignment is mildly straightened. No worrisome marrow signal abnormality is detected. The visualized spinal cord demonstrates normal signal intensity and morphology. No detectable cord edema is noted.C2-3: Unremarkable. C3-4: Mild facet hypertrophy. No significant spinal canal or neuroforaminal stenosis. No interval changes. C4-5: Mild facet hypertrophy. Mild left neuroforaminal narrowing. No significant interval changes. C5-6: Postoperative findings. Left facet hypertrophy. Significant improvement in the previously seen disc osteophyte complex with superimposed left central/paracentral protrusion. There is no longer any significant spinal canal stenosis or frank cord impingement. Left neuroforaminal narrowing seen on the prior examination is also nearly completely resolved. C6-7: Facet hypertrophy. Improvement in prior disc osteophyte complex. No significant spinal canal stenosis. Moderate left foraminal narrowing without significant change. C7-T1: Facet hypertrophy. Otherwise unremarkable.
1.Postoperative findings compatible with anterior instrumented fusion from C5 through C7. 2.Disc osteophyte formation with associated canal stenosis and cord impingement at C5-6 is significantly improved. There is no longer any evidence of cord impingement and prior left foraminal narrowing at this level is also improved.3.Interval improvement in disc osteophyte formation at C6-7 as well with persistent moderate left foraminal narrowing.4.No significant abnormalities are detected at the remaining levels.