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Old 08-13-2012, 03:43 PM   #1
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Join Date: Aug 2012
Location: Salem
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hastings0428 HB User
Cervical MRI results

Could somebody help me understand my MRI results. My neurologist ordered the test and was not concerned by it at all. I will post the report.


PRIOR STUDIES: No similar ones.

TECHNIQUE: Standard sequences were obtained of the cervical spine before
and after 12 mL of intravenous MultiHance were given without incident.

FINDINGS: The cervical lordosis is straightened from C2 to C6 inclusive.
There is minimal discogenic marrow signal change in portions of the
bodies of C5 and C6. There is minimal C5-C6 and C6-C7 disc narrowing.
Interspaces down to C3-C4 inclusive look normal. At C4-C5 there is a
disc osteophyte complex effacing the ventral subarachnoid space and
flattening the right ventral cord, without compressing it or changing its
signal, as a dorsal subarachnoid space is patent. C5 nerve root canals
remain widely patent. At C5-C6 there is another disc osteophyte complex
causing borderline cord compression and moderate right and minimal left
C6 nerve root canal narrowing. At C6-C7 there are small far lateral
endplate osteophytes causing minimal bilateral C7 nerve root canal
narrowing. The cervicothoracic junction looks unremarkable. Included
upper thoracic interspaces look normal. There is no abnormal enhancement
after gadolinium.
There is one area of abnormal long TR bright signal in the left lateral
and posterolateral cord behind the lower body of C2 and C2-C3 interspace,
best seen on sagittal images 6 7 of series 4, consistent with plaque of
demyelination. There is no enhancement here to suggest any active
demyelination currently. There are cerebral volume loss for age 51
years. Extraspinal soft tissues look unremarkable.



IMPRESSION: One area of abnormal signal in the cervical cord, on the
left behind C2 and C2-C3, consistent with demyelinating disease without
any active demyelination currently.
Multilevel degenerative changes as outlined above, with minimal
flattening of the right ventral cord C4-C5, and with borderline cord
compression at C5-C6. Moderate right and minimal left C6 and minimal
bilateral C7 nerve root canal narrowing.

 
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