Good day, I had a 3 level ACDF C4-C7 in Feb/09, newest MRI shows on the right side moderate foraminal narrowing due to vertebral body osteophyte at the C4/5 level and moderate foraminal narrowing on the left is present in C5/6-C6/7. Foraminal narrowing is essentially unchanged from the previous exam(2008), there has been increased posterior disc protrusion/herniation at C3/4 with indentation of the thecal sac and mild flattening of the spinal cord. The broad-based posterior disc protrusion at C3/4 shows extension of disc material superior behind the C3 vertebral body with mild central indentation of the thecal sac? I would appreciate any help with the interpretation of these results, Thanking all those in advance, Bunz50