i have two cat scans.one in 2014 and this from the other day. they said they wanted another one to see if i need neck surgery again. does anyone know if there is any changes from my catscan and a chance i would need neck surgery again ? ok heres the first one i had , and the 2nd one down is the one i had last week.
1: There is again noted to be anterior fixation of C4, C5 and C6 with
placement of disc spacers in the C4-C5 and C5-C6 discs. This appears
unchanged from the prior study. There is homogeneous marrow signal in
the vertebra although portions of the vertebral bodies are obscured
by the metallic fixation device. There does appear to be a vertebral
hemangioma in the C4 vertebral body. This was also evident on the
preoperative cervical spine MRI.
The C2-C3 disc remains normal and thickness and fluid signal. The
C3-C4 disc is now mildly bulging with small uncovertebral
osteophytes. No disc herniation or stenosis is seen. No stenosis is
seen at the fused levels of C4-C5 and C5-C6. The C6-C7 disc remains
normal in thickness and fluid signal.
After the injection of contrast a postcontrast sagittal and axial
sequence was obtained. There is significant motion artifact on the
axial sequence obscuring detail of the cervical spine and spinal
cord. On the postcontrast sagittal sequence no foci of abnormal
enhancement are seen.
1. Anterior fixation device extending from C4 through C6 as described
2. Development of mild disc bulging and small uncovertebral
osteophytes at the C3-C4 level with no stenoses seen.
2: CLINICAL HISTORY:
M54.2 Cervicalgia Z98.1 Arthrodesis status M79.603 Pain in arm,
MRI 03/24/2015, x-rays 06/16/2014
Thin section helical images were obtained and reconstructed into the
coronal and sagittal planes.
No acute fracture or dislocation is identified. Spinal alignment is
within normal limits. Patient is status post fusion, internal
fixation and placement of disc spacers at C4-C5 and C5-C6. There is
diffuse sclerosis of the inferior aspect of C4, superior aspect of C6
and all of C5. There is moderate beam hardening artifact at these
levels. C2-C3 is within normal limits. There is minimal disc space
narrowing, disc bulging and hypertrophic change at C3-C4 but without
any foraminal or spinal canal narrowing. Postsurgical changes present
from C4 through C6 without any gross foraminal or spinal canal
narrowing. There is loss of detail due to the streak artifact. No
disc herniation or foraminal narrowing is seen at C6-C7. Facets are