Neurosurgeon appt June 11th. My MRI is kind of crazy long... but, I will post it but, first...
I have had c5-c7 fusion in 2002, syrinx t3-t6, recurrent idiopathic pulmonary emboli resulting in lifetime xeralto...
I am really wondering just how serious this spinal cord compression issue is?
How extensive and urgent is this surgery?


Moderate Hypertrophic facet arthropathy;
mild to moderate uncovertebral joint degeneration is
evident;
grade 1 retrolisthesis of C3 on C4 as well as grade 1
anterolisthesis of C7 on T1;
these factors contribute to stenotic
disease.
C2-3: Small disc-osteophyte complex. Mild left C3 neuroforaminal
narrowing.
C3-4: Small to moderate disc-osteophyte complex with limited
anterior thecal sac flattening. C4 neuroforaminal narrowing
appears moderate on the right and moderate to severe on the left.
C4-5: Moderate to large disc-osteophyte complex with large left
paracentral disc extrusion, somewhat greater in the interval. The
extrusion protrudes roughly 4 mm posterior to the posterior
spinal line, extending minimally above and about 5-6 mm below the
level of the interspace. The disc material creates mild clockwise
cord rotation, as well as posterior displacement and deformation
of the cord, particularly the right hemicord. At, above, and
below the level of the interspace, abnormal patchy increased cord
signal is shown, extending roughly 13-14 mm craniocaudally and
representing a significant interval change/worsening. Substantial
lateral recess effacement, particularly on the left. C5
neuroforaminal narrowing appears fairly mild on the right but
severe on the left.
C5-6: Mild to moderate C6 neuroforaminal narrowing on the right.
C6-7: Mild C7 neuroforaminal narrowing on the right.
C7-T1: Small disc-osteophyte complex. C8 neuroforaminal narrowing
mild to moderate bilaterally.
Substantial hypertrophic neuroforaminal narrowing is seen at
T1-T2 bilaterally, accentuated by small foraminal disc
protrusions. Similar findings, with neuroforaminal stenoses of at
least moderate extent, on the right at T2 and T3, milder at T4.
Beginning roughly at or just below the level of the T3-T4
interspace, note is made of elongated internal cord signal
compatible with syringohydromyelia. This pattern proceeds
inferiorly, apparently greatest at about the T5 level, and is
only very faintly suggested from mid T6 inferiorly. This
syringohydromyelia is visible at the lower extent of the
comparison exam, but the comparison exam terminates inferiorly at
about the level of the T4-T5 interspace.
Impression:
Multifocal, multifactorial stenotic abnormalities as detailed
above. Please see the report, to include the level by level
description.
Large disc extrusion at C4-C5, with regional cord signal
alteration compatible with edema and/or gliosis. Recommend
neurosurgical referral