CJ Wood

Thank you for the quick reply. I had 2 mri’s since my last surgery and one ct. I have pasted the results below. I have not had SNRB and did not realize until I pasted the results below that ct notes issue at C7-T1 as no one ever addressed this. I was told both my mri’s and ct were normal by ordering dr. I do meet with my pain mgmt dr on Tuesday to discuss results of latest mri and ncv/emg and any suggestions you have would be appreciated. I would like to find out and stop the nerve compression that was not there before my last surgery but has gotten worse in the past year as I had c7 radiculopathy last year and c7 along with left side c6 now. Thank you.

Contrast Used:results Contrast Used: Gadavist 8
Compared to 4/3/2017.
Previous ACDF with anterior plate fixation at C5-6 and C6-7.
At C3-4 there is mild disc narrowing with mild anterior posterior osteophytes and mild posterior disc bulging without significant spinal stenosis or spinal cord compression.
At C4-5 there is mild disc narrowing with anterior osteophytes and mild posterior disc bulging without significant spinal stenosis or spinal cord compression.
No residual or recurrent spinal stenosis at the fused C5-6 or C6-7 levels.
No intramedullary or intradural abnormality.
IMPRESSION:
1. Previous ACDF at C5-6 and C6-7 without residual or recurrent spinal stenosis.
2. Mild degenerative disc disease and disc bulging without significant spinal stenosis or spinal cord compression at C3-4 and C4-5

Examination Date: 10/26/18 with contrast
C2-3: Unremarkable.
C3-4: There is mild disc bulge and mild bilateral uncinate hypertrophy without significant stenosis. This is unchanged.
C4-5: There is mild disc bulge and endplate spurring and mild bilateral uncinate hypertrophy without central stenosis. Thisis unchanged.
C5-6: ACDF without residual stenosis. This is unchanged.
C6-7: ACDF without residual stenosis. This is unchanged.
C7-T1: There is mild narrowing of the foramen from facet hypertrophy. This is unchanged.
T1-T2: Unremarkable.
IMPRESSION: There is mild multilevel disc degeneration without significant stenosis. There is prior ACDF at the C5-6 and C6-7 levels residual stenosis. These findings are unchanged. Cord is normal in signal intensity. No abnormal
enhancement.
Examination Date: 12/04/17
The appropriate dose reduction devices or manual techniques for moderation of exposure have been applied.
Estimated Radiation Dose (CTDI vol): .
Estimated Radiation Dose (DLP): 252.43 MGY CM

COMPARISON: August 31, 2017, MRI of the cervical spine.
TECHNIQUE: Noncontrast helical images of the cervical spine were acquired and reformatted in all 3 planes.
FINDINGS: Prior anterior cervical discectomy and fusion C5-C7. Solid osseous bridging seen across the fused segments.
No hardware complication or failure.
A well-corticated linear groove seen at the inferior margin of the left C4 facet series 500 image 32. Given it has wellcorticated margins, this is thought to be old and may be sequelae of an old injury. There is facet joint space narrowing bilaterally at C6-C7. C7-T1 facet arthropathy is present, more so on the left than right. Mild upper cervical disc space narrowing C3-C4 and C4-C5 incidentally noted. C3-C4 uncovertebral arthropathy is present
Cranial occipital junction is preserved. C1-C2 minimal spurring present.
Visualized intracranial contents are unremarkable.
Visualized mastoid air cells are clear.
IMPRESSION:
1. No acute fracture.
2. Mild upper cervical degenerative disc disease and uncovertebral arthropathy.
3. Prior anterior cervical discectomy and fusion C5-C7 with solid osseous bridging, and no hardware complication.