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  • Help with MRI ct scan Myleogram ct bone scan part 1

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    Old 11-16-2017, 05:58 AM   #1
    Daisy777x
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    Help with MRI ct scan Myleogram ct bone scan part 1

    Hi can someone give opinion please

    MRI results:
    Marrow: abnormal signal at c4
    Fractures: none
    Spinal cord no abnormal signal seen within the cervical spine
    Disc spaces: post fusion changes are noted from c5-c7. There are degenerative changes above and below the fusions.
    C2-c3 no disc bulge
    C3-c4 there is broad herination across the disc margin with impingment on the thecal sac
    C4-c5 disc osteophyte formation is seen across the disc margin extending into both foraminal with moderate narrowing of the central canal and sever bilateral foraminal stenosis
    C5-c6 post discectomy and fusion changes are noted
    C6-c7 post discectomy and fusion changes are noted
    Impression:
    Broad herination across the disc margin at c3-c4
    There is disc osteophyte formation centrally and in both foraminal at c4-c5
    Post discectomy and fusion changes are noted from c5-c7

    Ct scan:
    Cervical lordosis: straightening of the normal cervical lordosis. Grade 1 anterolisthesis of c4-c5 and c7-t1
    Disc height diminished at c4-c5 diminished at c7-t1
    Osteophyte a venterally at c3-c4 and c4-c5 and at c7-t1
    Abnormal signal seen on MRI at c4 vertebral body and in the left facet. Coronal computer reformatted ct images demonstrate sever degenerative spur formation and joint space narrowing as well as bony sclerosis involving the c5-c6 facet on the left. The right appears normal. There is sclerosis seen in the most leftward lateral aspect of the c4 vertebra. . I suspect the mr finding are related to reactive edema secondary to these degenerative changes.
    Limited bone scan:
    There is focal increased uptake seen in the left side of the cervical spine corresponding to the lesion seen on the MRI and ct scan no abnormal uptake is seen elsewhere in the visualized skeleton.the findings of concern on the left side at c4 appears to be related to active osteoarthritis.

     
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