Cervical spondylosis with myelopathy. Status post decompression and fusion. Since the previous MRI examination, the patient underwent C3-C7 (partial at C3 and C7) laminectomies. There are bilateral posterior rods with lateral mass' screws at C3-C6 as well as screws at the T1 levels. Heterogeneity and T2 signal in the overlying soft tissues is an expected postoperative appearance.Compared to the previous MRI, there has been decompression of the thecal sac at the laminectomy levels. Focal, central T2 hyperintensity in the spinal cord at C6-C7 level persists but somewhat obscured by the susceptibility related artifact. There is no other cord signal abnormality. Prior anterior C6-C7 hardware is again seen.Susceptibility artifact slightly limits evaluation of the neural foramina which are better seen on recent MRI. Individual levels as below:C2-C3: No spinal canal or foraminal stenosis.C3-C4: Bilateral, left more than right, foraminal stenosis caused by uncovertebral and facet proliferative changes present. The left paracentral disc-osteophyte complex causes no significant narrowing given the decompression laminectomy.C4-C5, C5-C6: Severe bilateral foraminal stenosis by uncovertebral and facet proliferative change are described in detail on the previous report. The right paracentral C4-C5 and the central C5-C6 disc-osteophyte complexes cause no significant spinal canal narrowings given the decompression laminectomies.C6-C7: Severe left and mild right foraminal stenosis by uncovertebral and facet proliferative change. The central disc-osteophyte complex causes no significant spinal canal narrowings given the decompression laminectomies.C7-T1: There is no spinal canal or foraminal stenosis.
1.Since previous MRI of May 2015, there has been interval decompression of the cervical spinal canal and placement of posterior fusion hardware which extends from C3 to T1. Spinal canal is well decompressed.2.Small focus of abnormal signal at C6-C7 again seen and compatible with myelomalacia. 3.Bilateral foraminal stenoses at multiple levels as described above and on the previous MRI report.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.