Any comments will be appreciated...
I have posted earlier with no response... maybe too long/
I have neuro appt for spinal compression at C-4... above 12 year old fusion c5-c7..
The neurologist said this is urgent surgery but, not emergent.
here is the short version of the MRI...

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.