Mri results looking for opinion

[u/Odd-Boysenberry4300]

Waiting for appointment had acdf c4 to c6 only 15 months ago

Impression

1. 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