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Old 04-15-2011, 04:49 AM   #1
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mtillges HB User
MRI results

Over the past several years the stiffness and pain in my upper, mid back has progressively worsen to the point I can no long just tough it out on my own. I now am seeing a dr to help me figure out whats going on.
Looking for insight on my two MRI results. Can anyone help me with understanding what the result mean and with what some good next steps may be??
Listed below are the results of my two MRI's
[B]
First MRI.[/B]
TYPE OF EXAM: MRI OF THE CERVICAL SPINE WITHOUT CONTRAST

THIS WAS PERFORMED ON MAGNETOM ESPREE 1.5T

INDICATIONS: Headaches, neck pain.

_______________________________________________________________________________
IMPRESSION

1. At the C6-7 level, there is a small central disc herniation, which does cause a slight effacement to the ventral aspect of the spinal cord. There is no evidence for nerve root impingement or spinal stenosis.

2. Mild to moderate multilevel degenerative disc disease is present within the cervical spine.

3. There is a moderate stenosis to the left C4-5 and left C5-6 neural foramina secondary to uncinate process hypertrophy.

4. No evidence for central stenosis. No signal abnormality is demonstrated within the visualized spinal cord.
_______________________________________________________________________________

TECHNIQUE: Sagittal short TR/TE (600/11); sagittal long TR/TE (4000/46); sagittal long TR long TE (4000/96); axial short TR/TE (1360/19); axial long TR/TE (3600/111).

The patient was studied in the non-weight bearing supine position.

FINDINGS: Examination at the C2-3 level demonstrates minimal posterior disc bulging and marginal spurring. There is no evidence for stenosis of the central spinal canal or the neural foramina.

Examination at the C3-4 level demonstrates mild posterior disc bulging and marginal spurring. There is no evidence for central stenosis. There is no evidence for significant narrowing of the neural foramina.

Examination at the C4-5 level demonstrates mild posterior disc bulging and marginal spurring. There is no evidence for stenosis of the central spinal stenosis. There is moderate narrowing of the left C4-5 neural foramen secondary to uncinate process hypertrophy.

Examination at the C5-6 level demonstrates minimal posterior disc bulging and marginal spurring. There is no evidence for central stenosis. There is moderate narrowing of the left C5-6 neural foramen secondary to uncinate process hypertrophy.

Examination at the C6-7 level demonstrates a small central disc herniation, which does cause a slight effacement to the ventral aspect of the spinal cord. There is no evidence for nerve root impingement or spinal stenosis.

Examination at the C7-T1 level demonstrates no evidence for disc herniation or spinal stenosis.

There is minimal posterior disc bulging present at the T1-2 level. There is no evidence for spinal stenosis at this level.

No abnormality is demonstrated at the craniovertebral junction or within the visualized spinal cord.

The height of the visualized vertebral bodies is well maintained.

[B][U]Second MRI.[/U][/B]
TYPE OF EXAM: MRI OF THE THORACIC SPINE WITHOUT CONTRAST

THIS WAS PERFORMED ON MAGNETOM ESPREE 1.5T

INDICATIONS: Headaches, neck pain.

_______________________________________________________________________________
IMPRESSION

1. At the T10-11 level, there is a small right-sided disc herniation, which does efface the right ventral aspect of the thecal sac. There is no evidence for spinal stenosis.

2. Minimal posterior disc bulging is present at the T8-9 and T4-5 levels.

3. No signal abnormality is demonstrated within the thoracic spinal cord. No evidence for spinal stenosis.
_______________________________________________________________________________

TECHNIQUE: Sagittal short TR/TE (550/11); sagittal long TR/TE (4000/45); sagittal long TR long TE (4000/122); axial short TR/TE (500/19); axial long TR/TE (600/196).

The patient was studied in the non-weight bearing supine position.

FINDINGS: Examination at the T4-5 level demonstrates minimal posterior disc bulging. There is no evidence for spinal stenosis.

Examination at the T8-9 level demonstrates minimal posterior disc bulging. There is no evidence for central stenosis.

Examination at the T10-11 level demonstrates a small right-sided disc herniation, which does efface the right ventral aspect of the thecal sac. There is no evidence for spinal stenosis.

T2 weighted images demonstrate no signal abnormality within the visualized spinal cord. No intrathecal extramedullary mass is demonstrated.

There is decreased signal within the thoracic intervertebral discs. There is marked narrowing of the T2-3 intervertebral disc. No significant signal changes are demonstrated within the bone marrow. No destructive lesion or paravertebral soft tissue mass is noted.

 
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Old 04-15-2011, 03:16 PM   #2
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Re: MRI results

Hi. I'm Jenny and I do a lot of the neck MRI interpretations so I'll start. BTW, I've had 2 major cervical spine surgeries and am now fused from C3 to T1.

I'll take each level from C2-3 down.

C2-3-real small disk bulge not hitting anything and some bone spurs from arthritis but they don't affect anything either.

C3-4-same as above but a few more bone spurs.

C4-5-same as above with one exception. You have arthritic bone spurs from a small joint on the outside of the vertebra(uncinate joint) and the bone spurs there have closed up the hole where the spinal nerves exit on the left side only. They categorize the amount of closing with the terms minimal, mild. moderate and severe. You are moderate...most docs won't operate until it reaches severe. But it can cause a lot of pain.

C5-6-exactly the same as C4-5, even with the problem on the left side being moderate.

C6-7-you have small disk herniation in the center back that does very slightly touch the spinal cord but no compression of the nerve going out of the vertebra. The spinal cord can take significant compression before it needs to be treated if it is slow to develop like it does with arthritis.

C7-T1-no problems

T4-5-slight disk bulge but it is not touching anything or causing stenosis in the canal(closing up of the spinal cord canal).

T8-9-same situation as above

T10-11-you have a small disk herniation that is touching the sac that covers the spinal cord but is not touching the spinal cord itself or causing the canal to narrow.

Overall, you have some arthritis and disks starting to cause problems but really only 2 major problems and those are the areas on the left side where you have moderate closing up of the foramen(official name of the holes where the spinal nerves exit to the arms). Neither are severe enough for surgical treatment(fusion) so you may have to deal with pain management until they do get worse. They don't do anything until then as they can end up causing paralysis with the surgery and so they wait as long as possible, until you are in danger of developing paralysis, if they don't intervene.

Sadly, welcome to the back spine group.

Jenny

 
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mtillges (04-16-2011)
Old 04-15-2011, 03:26 PM   #3
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Re: MRI results

Jenny has given you great information and I can't add to it, but I did want to welcome you to the board.

I would like to suggest that you be sure your doctor is fellowship trained and limits his practice to the back and neck only....no joints, broken bones, etc. This will ensure that you get the best options available to you by way of diagnosis and treatment.

I agree that you most likely aren't surgical at this point, and that you may benefit greatly from pain management. Your spine specialist will most likely discuss this option with you.

Please feel free to ask any questions you might have. There are no doctors here, but a lot of people with many varied experiences, and who have done a lot of research on spine problems.

Best of luck.

Carol
__________________
Lumbar surgery x 7 over the last 30 years.
cervical fusion...2 levels
medtronic pain pump implanted
Last surgery Oct, 2010, 3 levels

 
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bulging disc, cervical disks neck, degenerative, disc, hermiation



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