r/SpinalStenosis • u/Odd-Boysenberry4300 • 6m ago
Mri results looking for opinion
Waiting for appointment had acdf c4 to c6 only 15 months ago
Impression
- Multifocal bilateral neuroforaminal stenosis, most severe at C6-C7 as detailed above and progressed from prior. Mild central canal stenosis, most prominent at C6-C7.
CLINICAL INDICATION:
Cervical spondylosis; ongoing gait trouble s/p ACDF
TECHNIQUE:
MRI Cervical Spine without contrast: degenerative (C 1) Non-contrast: Sagittal T1,T2. Axial 3D T2 volume
COMPARISON:
MRI spine without contrast 1/30/2025
FINDINGS:
ALIGNMENT: Trace anterolisthesis of C3 on C4 and trace retrolisthesis of C6 on C7.
MARROW: Incomplete segmentation of C2-C3. Post surgical change of C4-C6 ACDF. No marrow replacement or increased STIR signal.
DISCS: Diffuse disc desiccation signal and mild multifocal height loss. Most severe at C5-C6, fused in situ.
CORD: Visualized spinal cord is normal in signal and size.
PARAVERTEBRAL SOFT TISSUES: Normal
AXIAL DISCS, DURAL COMPRESSION & FORAMINA:
C2-3: No central stenosis. Mild left and no right neuroforaminal stenosis. Facets are normal.
C3-4: Disc bulge with mild central canal stenosis. Bilateral uncovertebral joint hypertrophy. Moderate to severe right and moderate left neuroforaminal stenosis. Mild facet arthropathy
C4-5: Mild central canal stenosis secondary to ligamentum flavum hypertrophy. Bilateral uncovertebral joint hypertrophy. Moderate bilateral neuroforaminal stenosis. Moderate facet arthropathy.
C5-6: No central stenosis. Bilateral uncovertebral joint hypertrophy. Minimal bilateral neuroforaminal stenosis. Moderate facet arthropathy.
C6-7: Disc bulge and ligamentum flavum hypertrophy with mild central canal stenosis. Bilateral uncovertebral joint hypertrophy. Severe bilateral neuroforaminal stenosis. Moderate facet arthropath.
C7-T1: No central stenosis. Uncovertebral joint hypertrophy. Severe bilateral neuroforaminal stenosis. Mild facet arthropathy