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Old 12-01-2012, 03:01 PM   #1
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Red face Myelogram results

I recently had this Myelogram, now I don't see the Doctor for almost 3 weeks because he's on vacation. Could someone explain to me the results, and if I should be concerned on seeing someone sooner? Mild flattening of the spinal cord has me concerned.

FINDINGS:
ALIGNMENT AND GENERAL ASSESSMENT: There is 2 mm retrolisthesis of C4 on C5. Small posterior degenerative osteophytes are seen from the C4-C5 through C6-C7 levels. There are no vertebral body fractures. The prevertebral soft tissues, atlanto-dental interspace and craniocervical junction regions are unremarkable. The facet joint, spinolaminar and spinous process alignments are unremarkable.

DISC SPACES:
C2-3: The disc is unremarkable. Mild bilateral degenerative facet disease changes are seen. There is no central or foraminal stenosis.

C3-C4: There is a tiny central disc protrusion. There are moderate left and mild right degenerative facet disease changes. There is no central or foraminal stenosis.

C4-C5: There is a small left paracentral disc osteophyte complex noted with mild flattening of the left side of the spinal cord. There are moderate bilateral degenerative facet disease changes with mild uncovertebral joint hypertrophy. There is no central spinal stenosis. There is severe left and moderate to severe right foraminal stenosis.

C5-C6: There is a tiny central disc osteophyte complex noted. There are mild bilateral degenerative facet disease changes with mild uncovertebral joint hypertrophy, left greater than right. There is no central spinal stenosis. There is mild right and moderate left foraminal stenosis.

C6-C7: There is a broad-based left paracentral and foraminal small disc osteophyte complex noted. The facet joints appear unremarkable. There is mild uncovertebral joint hypertrophy. There is mild flattening of the left side of the spinal cord. There is no central spinal stenosis. There is mild to moderate left and moderate right foraminal stenosis.

C7-T1: There is a tiny central posterior degenerative osteophyte is noted. There is mild diffuse disc bulge. There are mild bilateral degenerative facet disease changes. There is no central or foraminal stenosis.

Opinion:
1. Broad-based left paracentral and foraminal small disc osteophyte complex at the C6-C7 level. Assessed mild uncovertebral joint hypertrophy. Mild flattening of the left side of the spinal cord. No central spinal stenosis. Mild to moderate left and moderate right foraminal stenosis.
2. Tiny central disc osteophyte complex at the C5-C6 level. Associated mild bilateral degenerative facet disease changes with mild uncovertebral joint hypertrophy, left greater than right. No central spinal stenosis. Mild right and moderate left foraminal stenosis.
3. Small left paracentral disc osteophyte complex at the C4-C5 level with mild flattening of the left side of the spinal cord. Associated moderate bilateral degenerative facet disease changes with mild uncovertebral joint hypertrophy. No central spinal stenosis. Severe left and moderate to severe right foraminal stenosis.
4. Tiny central disc protrusion at the C3-C4 level. Associated moderate left and mild right degenerative facet disease changes. No central or foraminal stenosis.

 
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