CT Report help

[kujo85]

I had a 2 level fusion and an artificial disc implant in April of 2009. I had an MRI, Mylegram and CT done recently and i was wondering if someone would help me decipher the report

CT Report:
Impression:
1) At C5-6 and C6-7 levels, there has been an anterior fusion procedure. There are a few small areas of bridging bone, as described. However, a majority of the disk space does remain visualized.
2) Uncovertebral osteophyte formation resulting in moderate to severe degree of foraminal stenosis bilaterally at C5-6 and moderately at C6-7.
3) Satisfactory appearance of artificial disk at C4-5.

4) Congenitally small spinal canal. There has been no interval change when compared to recently performed MRI of 01/26/11.

5) Moderate right foraminal stenosis at C3-4 with truncation of the nerve root sleeve on CT myelographic images.

Findings:
The course and caliber of the cervical spinal cord is normal. The canal is congenitally small measuring just over 9 mm at the level of C4. Visualized portions of the intracranial structures and orbits are normal. The paraspinal soft tissues demonstrate mild enlargement of the palantine tonsils with tonsilliths, most consistent with inflammatory change. Visualized portions of the lung apices are free of disease.

[Dr_Nassim]

hello I am the moderator of this group and i would like to help you if you still want a help. after i took a spectrum view of your results i concluded that you have a small neural canal since enfancy and you may necessitate another surgery a posterior approach. it will prevent further future problems

[kujo85]

Report continued

The intervertebral disks are as follows:
Occiput-C2: The occipitoatlantoaxial articulation is intact.

C2-3: The intervertebral disk, neural foramina, and facets are normal.

C3-4: The intervertebral disk is of normal height. There is bilateral uncovertebral osteophyte formation, right greater than left, resulting in moderate right foraminal stenosis. The right-sided nerve root sleeve is slightly truncated. There is mild congenital spinal stenosis.

C4-5: The patient is status post artificial disk placement anteriorly. There is metallic artifact related to the artificial disk and given this proviso, there is no compromise of the central canal. There is uncovertebral osteophyte formation, left greater than right, resulting in a mild degree of left foraminal stenosis.

C5-6: The patient is status post anterior fusion procedure with screw and plate fixation and graft placement. The posterior and lateral margins of the fusion have significant lucency extending through at these levels. However, at the anterior margin of the fusion just posterior to the plate, there are areas of solid and bridging bone. There is uncovertebral osteophyte formation bilaterally resulting in a moderate to severe degree of foraminal stenosis. The patient has mild congenital spinal stenosis.
C6-7: The patient is status post anterior fusion procedure at this level with graft and plate fixation. There is significant lucency about the posterior and lateral margins of the graft. However, anteriorly and just apposed to the plate, there are a few areas of solid bridging bone. There is uncovertebral osteophyte formation and moderate degree of bilateral foraminal stenosis. There is mild congenital spinal stenosis.
C7-T1: The intervertebral disk, neural foramina, and facets are normal.