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  • Can Someone Help Me Understand My MRI

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    Old 07-08-2015, 10:09 AM   #1
    colay
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    colay HB User
    Can Someone Help Me Understand My MRI

    The thoracic spine demonstrates gross anatomic alignment. There is mild
    focal kyphosis centered at T7 with endplate irregularities from T6 through
    T8 with mild chronic-congenital wedging of the T7 and T8 vertebra.
    Vertebral bodies are otherwise normal in height and AP alignment. Minimal
    fatty endplate degeneration of the T6-T8 vertebra with mild desiccation of
    the T6-7 through T8-9 intervertebral discs. The spinal canal and foramina
    are widely patent. The prevertebral soft tissues and dorsal first muscles
    are unremarkable.
    Visible thoracic and upper abdominal structures are grossly unremarkable.

    Limited images of the cervical spine demonstrate straightening of the
    normal cervical lordosis due to spondylosis centered mostly from C5-C7.
    Mild spinal canal and foraminal narrowing is suspected on this sequence.


    IMPRESSION:

    MILD THORACIC SPONDYLOSIS CENTERED AT T7 WITH MILD CHRONIC-DEVELOPMENTAL
    WEDGING OF T7 AND T8 WITH ENDPLATE IRREGULARITY SUGGESTIVE OF SCHEUERMANN'S
    KYPHOSIS. NO SPINAL CANAL OR FORAMINAL STENOSIS.



    FINDINGS:
    5 lumbar like vertebral bodies. Normal lordotic curvature of the lumbar
    spine. The vertebral bodies are normal in height and AP alignment. The bone
    marrow signal is normal. Disc desiccation with decreased T2 signal at
    L3-L4, L4-5 and L5-S1. The conus terminates at the L1-L2 disc level with
    normal appearance of the cauda equina clumping or thickening.

    T12-L1: Unremarkable. No spinal canal or foraminal stenosis.

    L1-L2: Normal disc with minimal endplate spurring. No spinal canal or
    foraminal stenosis.

    L2-L3: Minimal endplate spurring. Normal disc. No spinal canal or foraminal
    stenosis.

    L3-L4: Mild disc height loss. Mild circumferential disc bulge with tiny
    central disc protrusion and annular fissure. Mild ventral thecal sac
    flattening without spinal canal stenosis. Partial effacement of lateral
    recess with disc contacting and mildly displacing the descending L4 nerve
    left greater than right. Mild foraminal narrowing from disc height loss and
    mild foraminal encroachment by the endplate osteophytes.

    L4-L5: Mild disc height loss. Mild circumferential disc bulge with central
    disc protrusion with annular fissure focally indenting the ventral thecal
    sac. This protrusion contacts and moderately displaces the descending right
    L5 nerve. Mild ventral thecal sac flattening with lateral recess stenosis
    by disc. Mild/moderate left and mild right foraminal narrowing secondary to
    asymmetric loss of the disc height, greater on the left.

    L5-S1: Moderate loss of disc height diffusely. Mild circumferential disc
    bulge superimposed right paracentral disc protrusion with right foraminal
    encroachment. Animal ventral thecal sac flattening. No spinal canal
    stenosis. Disc protrusion contacts and minimally displaces the descending
    right S1 nerve. Reactive endplate osteophytosis with foraminal extension
    causing left greater than right mild-to-moderate foraminal narrowing with
    exiting left L5 nerve contacted by the endplate osteophytes.

    Prevertebral soft tissues are unremarkable. Dorsal paraspinal muscles and
    visible abdominal structures are unremarkable.

     
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