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Old 06-22-2012, 10:47 AM   #1
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cervical spine mri interpretation

Can anyone help to interpret this MRI result please? I have been suffering with neck pain and arms going numb especially when folded in one position, or lying down. Also numbness into fingers and loss of grip.

Degenerative changes particularly at C6/7 where there is end plate change.
At C4/5 bony disc bar causing minor narrowing of both exit foramina of the C5nerve roots.
At C6/7 bony disc bar effacing the theca anteriorly.
Narrowing of both of the C7 exit foramina moreso on the right.

Thanks for any help.

 
Old 06-22-2012, 12:13 PM   #2
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Re: cervical spine mri interpretation

That's not a very helpful MRI report. Either the radiologist didn't see anything he thought was worth describing or he was late for his tee time.

At C4-5 you have osteoarthritis with bone spurs starting to come into the foramina, the openings where the C5 nerves leave the cord and head into your shoulders and arms. He says it's "minor", though, which means he doesn't think it's currently of concern.

You have the same thing at C6-7 (odd that there's nothing said about C5-6), but a little worse. Here, the osteophytes have pushed backward into the spinal canal and pushed away (effaced) the spinal fluid that's between the theca (membrane around the outside of the canal) and the spinal cord. This is only a problem if it's pushing far enough back to affect the cord, and he doesn't say anything about that.

However, the foramina are narrowed more here than at C4-5. If the nerve roots were affected (radiculopathy), the most indicative symptom would be problems/feelings in the first two fingers of the right hand.

I think you need another set of eyes on the MRI, either a neurologist or spine surgeon. Not on the report, which strikes me as inadequate, but on the images themselves.

Last edited by WebDozer; 06-22-2012 at 12:15 PM.

 
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