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Spinal Cord Disorders Message Board
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Old 01-31-2013, 11:22 AM   #1
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Help Needed Interpreting MRI

I visited my ortho for the first time with mild numbness and pain in my right thumb and forefinger that spread into my wrist. He prescribed Piroxicam and some exercise therapy and recommended follow up in 3 weeks. The next day I was in a car accident where the other driver t boned me on the passenger side, driving about 45 mph. I felt pain in my back and neck and was taken to the hospital, treated and released with a prescription for muscle relaxers and hydrocodone. I followed up with my ortho, who diagnosed cervical sprain/strain. I was experiencing severe pain in my right shoulder, sharp shooting pains intermittently in my arm, and my whole arm was numb. I we t through physical therapy and the pain did not go away. The ortho ordered an MRI, which gave the following diagnosis:
Findings:
C5-6: The disk height is within normal limits, although there is mild degeneration of the disk. A small posterior disk/spur combination is slightly more prominent to the right of the midline, deforming the thecal sac, potentially contracting the cord. There is no definite cord compression. The right foramen is at least mildly narrowed by Luscha joint spurs. The left foramen appears clear.
C6-7: The disk height is normal, with mild degeneration. A small posterior disk herniation represents at least protrusion. It is deforming the thecal sac, externding very close to the cord. There is no definite cord compression. The foramina appears clear.

Impression:
C6-7: A small, posterior disk herniation causes deformity of the thecal sac that extends very close to the cord. The disk appears very mildly degenerated, but only minimal posterior spurs are suspected. The foramina are clear.
C5-6: Mild disk degeneration, with small combination of posterior disk protrusion and spur formation, more prominent to the right of midline, causing deformity of the thecal sac and potentially contracting the cord. The right foramen is mildly narrowed, although whether stenosis is caused primarily by spurs or posterateral disk protrusion is difficult to determine on this exam, especially considering the limitations encountered.

Can anyone help me interpret this report? Do you think any of this might have been caused or aggravated by the accident?

My doctor also noted in his records that I have very mild fibro osseous expansion of the AC joint. What does this mean?

Any help would be greatly appreciated.

 
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