Donnakruis

Dr Corenman,

I was able to pull up more details from my reports
Thank you so much for your time.

CT C Spine w/o contrast:

Acdf changes visualized between C5 and T1. Anterior subluxation of inferior most aspect of the plate by approximately 3mm, anterior to the C7 and T1 vertebral bodies.

There is osseous bridging across the anterior portion of the fusion construct.

There is no evidence of fracture, there is straightening of the usual lordosis with reversal of usual cervical lordosis between C2 and C4.

Crainocervical junction is intact.
Visualized intracranial structures are unremarkable.
Lung apices are clear

C2-3 unremarkable
C3-4 Unremarkable
C4-5 Loss of disc height. Central disc osteophyte with mild canal stenosis. Left foramen patent. Right uncovertebral hypertrophy with moderate to severe right foraminal stenosis.
C5-6 No evidence of canal stenosis. Right uncovertebral hypertrophy with moderate to severe right forminal stenosis. Left foramen patent.
C6-7 no evidence of canal stenosis. Right neural foramen patent. Left neural foramen patent.
C7-T1. No evidence of canal or foraminal stenosis.
Acdf between C5 and C7 as above.
Ajacement segment degenerative changes at C4-5

MRI C Spine w/o contrast
Redemonstration of Acdf between C5 and T1
C1 dens interval is maintained
C2-3 unremarkable
C3-4 unremarkable
C4-5 broad central protrusion resulting in mild ventral dual compression and canal stenosis. Right uncovertebral hypertrophy contributes to severe right foraminal stenosis. This has progressed slightly to the prior study. Foramen patent. Facet joints unremarkable.
C5-6 no evidence of canal or left foraminal stenosis. Small right foraminal disc osteophyte with mild right foraminal stenosis.
C6-7 no evidence of canal or foraminal stenosis
C7-T-1 no evidence of canal or foraminal stenosis.

MRI T-spine:

Limited visualization of anterior cervical discectomy fusion at the mid to lower cervical spine.
C5-T1 the alignment, bone marrow signal and vertebral body heights are normal. There is no bone marrow edema or bone marrow replacement identified.
No cord edema identified. Multilevel facet arthropathy present with mild to moderate bilateral neural foraminal narrowing from T2-T3 through T4-5. There is a small central disc protrusion T8-T9 with mild ventral impression on the subarachnoid space. No cord enhancement noted.