Re: What does flattening of the ventral cord mean?
Hi feel bad. Thanks for the reply. I am posting two different MRIs that I have had done in 2009. To me, they are different. Here they are:
March 09 (Opensided MRI)
Indications: Patient has neck pain, radiating to the arms, and there is the possibility of disc herniation causing radiculopathy. The patient has history of thoracic fracture from ATV accident.
Procedure: Sagittal and axial T1, T2, and/or gradient echo sequences were performed.
FINDINGS: Incidental note is made of right maxillary sinus disease
The cervical cord is normal in its size and signal characteristics. There is some straightening of the normal lordosis, perhaps due to muscle spasm.
The C2-3, C3-4 and C4-5 levels are unremarkable.
The C5-6 disc is degenerated and bulges diffusely with central protrusion thinning the subarachnold space without compressing the cord. There is mild left neural foraminal stenosis.
The C6-7 and C7-T1 levels appear unremarkable.
IMPRESSION: Degeneration and bulging of the C5-6 disc thinning the subarachnoid space and mildly narrowing the left neural foramen without compressing the cord.
Nov 09 Cervical MRI – Done at a different location Closed MRI
Inferior views of the posterior fossma midline are within normal limits. The craniocervical junction is normal. There is a minimal reversal of the cervical lordosis centered at C5-6. The vertebral bodies maintain near anatomic height and alignment. There is mild loss of disk height greatest at C5-6. There is no suspicious marrow edema or signal abnormality. Details by axial level:
C2-3 is normal
C3-4 shows mild left foraminal narrowing, otherwise normal.
C4-5 shows minimal-mild disk osteophyte, with no central or foraminal narrowing.
C5-6 shows mild disk osteophyte eccentric to the left, with mild left facet hypertrophy, contributing to a mild-moderate left foraminal narrowing. There is very mild flattening of the ventral cord, without cord signal abnormality. There is no right foraminal narrowing.
C5-7 is unremarkable.
The visualized prevertebral paraspinal soft tissues appear within normal limits.
MILD CERVIAL SPONDYLITIC CHANGE GREATEST C5-6, MINIMALLY FLATTTENS VENTRAL CORD, WITH NO CORD SIGNAL ABNORMALITY. NO SIGNIFICANT FORAMINAL NARROWING
To me, there seems to be change in the C5-6. Or, maybe it's the wording of the two different radiologists?
As always, any ideas, suggestions are greatly appreciated. And, Happy Thanksgiving to all!!