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Old 06-09-2012, 09:37 AM   #1
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Thoracic - focal bulges - uncertain clinical significance

Hi

This is my original post and MRI from January of this year, Jennybyc was kind enough to answer my questions. I have now changed pain centers due to no doctors seeing me, only the PA with symptoms progressively getting worse. The new Spine/Surgical center sent me for Thoracic MRI, they believed I also have issues there.

THIS IS FIRST SET WITH ANSWERS FROM JENNY:

To start with, you have 2 major problems in your spine...one is the disks/bone spurs hitting your spinal cord and the other is the compression of the spinal nerves in your neck. It is the compression of the spinal nerves that causes all the pain...compression of your cord may not hurt at all but can cause other problems such as muscle dysfunction and numbness.

C3-4: there is moderate disc bulge in conjunction with bony spurring across midline and preferential to the right with mild right sided foraminal narrowing. This is new as compared to previous study.

You have a new problem here with compression by a bulging disk and arthritic bone spurs to a mild degree on the right sided spinal nerves. This should be causing pain in the area of your neck and shoulders.

C4-5: there is focal bulge in the midline effacing the anterior CSF space coming in contact with anterior aspect of cord causing deformity of the contour of cord anteriorly.

Here the same kind of bulging disk(as above)along with arthritis bone spurs(as above) are pushing backwards towards your spinal cord. It is actually touching the front side of your cord and they can see it actually deforming the oval shape of your cord. But no measurements are given as to how compressed your cord is so I assume it is normal size, just flattened.


C5-6: there is disc bulge and bony spurring effacing the anterior CSF space and deforming the cord in the midline, unchanged since prior study.

Exactly the same as the area above.


C6-7: this is disc bulge and bony spurring in the midline and preferential to the right which is similar to that seen previously. There is mild right sided neural foraminal narrowing.

At this level, you have the same issue with the cord but with no deformity seen. As with the first level sited, you have compression of the spinal nerves on the right side to a mild degree. This would be causing pain all the way down your arm into the middle, ring and pinky fingers.

LUMBAR - Moderate loss of disc space height at L4-5, which is seen in conjunction with posterior extension of disc material preferential to the left of midline with a contour most consistent with a relatively focal bulge. This deforms the anterior aspect of the thecal sac across the midline and preferential to the left.
Impressison, focal bulge preferential to the left at L4-5 with some deformity of the anterior aspect of the thecal sac at this level. This is seen in conjunction with a component of desiccation and moderate disc space narrowing.

You have a disk that is drying out and shrinking. It has herniated backwards and to the left toward your spinal cord and is touching the membrane(thecal sca) that covers the cord and holds the spinal fluid in around the cord.


THIS IS MY THORACIC RESULTS - 6/05/2012

My MRI states I have 3 levels of focal bulges effacing the cord at T7-T8, T8-T9 AND T9-T10 effacing the cord with spurring. What I don't understand is, it also states immediately following this "uncertain clinical significance. Please see axial images #2, #10 and #16 respectively.

WHAT DOES THE UNCERTAIN CLINICAL SIGNIFICANCE MEAN?

Thanks in advance
Debra

Last edited by hb-mod; 06-09-2012 at 10:23 AM.