Reason: evaluate for disk disease History: bilateral shoulder pain with paresthesias in both middle fingers (c7 distribution) Postsurgical findings related to anterior fusion of C5-C7 are noted. There is mild grade 1 anterolisthesis of C7 on T1. Compared with the prior MRI, there has been progressive osteoarthritic changes at the C4-5 disc space, as evidenced by anterior osteophytes, facet hypertrophy, and bilateral bony neuroforaminal narrowing.
Anterior fusion of C5-C7. Progressive degenerative changes at C4-5, as above.