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  • Newbie: 2 Much pain & so much 2 understand, MRI's

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    Old 09-30-2015, 03:32 PM   #1
    chessasfo2
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    Question Newbie: 2 Much pain & so much 2 understand, MRI's

    You don't know how grateful I am to have found this wonderful site.....I now have ONE place to be, that covers all the dang issues in my life.
    But 1st & foremost is the issue I have with my neck... Short history... have always had back problems, doc wanted to do surgery when I was 28 (now 56), but I learnt to live with the pain & just do things differently.
    But, (yes another but)... my neck began to give me problems, back in the late 90's but again I learnt to handle it, until suddenly the pain changed late last year, and got even worse a few months ago. I began to have this awful pain behind my left shoulder, I describe it as there being a deep hole that was being drilled on. Then the pins & needles started, with slight dumbness, not even able to hold a coffee mug without pain.
    The pain became literally unbearable, & still is. There is no position that is comfortable, sleep literally impossible.
    I am waiting to see a Neurosurgeon, in NOVEMBER!! My PCP sent me for 2 MRI's 1 cervical the other Thoracic, she said the results basically showed I have either spurs and/or bulges throughout... An MRI back in late 2013 said C2-3 Fusion at right facet joint... Doc asked about that surgery, WHAT surgery was my reply, because I've never had any... what does this mean?

    I am going to post my MRI's maybe someone has a similar result and can give me more insight...

    CERVICAL MRI 11/11/2013

    There is reversal of the cervical lordosis. Minimal anterolisthesis of C2 on C3
    and C3 on C4. Vertebral marrow signal is unremarkable except for some scattered
    minor discogenic endplate changes. There is disc desiccation throughout with
    disc space narrowing which is mild at C4-5, moderate to marked at C5-6 and mild
    at C6-7. Mild disc space narrowing is also incidentally seen at T1-2.

    C2-3: Fusion at the right facet joint with very mild right-sided neural
    foraminal narrowing. Otherwise negative.

    C3-4: Uncinate hypertrophy and facet arthropathy cause moderate to marked right
    and mild to moderate left neural foraminal narrowing.

    C4-5: Disc bulging and endplate osseous ridging mildly indenting the thecal sac.
    No significant central canal stenosis. Uncinate and facet arthropathy cause
    moderate right and mild left neural foraminal narrowing.

    C5-6: Disc bulging and endplate osseous ridging producing undulating disc
    osteophyte complex with moderate central canal stenosis including flattening and
    indentation along the left anterior aspect of the cord. There is uncinate and
    facet joint hypertrophy which causes marked right and moderate to marked left
    neural foraminal narrowing.

    C6-7: Disc bulging and endplate osseous ridging causes mild central canal
    stenosis. Uncinate hypertrophy and facet arthropathy cause moderate bilateral
    neural foraminal narrowing.

    C7-T1: No significant central canal or neural foraminal narrowing.

    T1-2: Disc bulging and endplate osseous ridging, right greater than left causes
    very mild central canal narrowing. Mild to moderate right and mild left neural
    foraminal narrowing.

    Impression:

    IMPRESSION:
    1. Multilevel cervical spondylosis which is most pronounced at C5-6.
    2. Apparent fusion at the right facet joint at the C2-3 level.


    CERVICAL MRI 9/28/2015

    COMPARISON: 11/11/2013


    REPORT: Again seen is diffuse multilevel disc desiccation with mild to moderate
    disc space narrowing most pronounced at C5-C6 as well as scattered annular disc
    bulges of varying size from C3-C7 with marginal osteophytes, uncovertebral and
    facet arthropathy.

    Reversal of the normal cervical lordosis. Fusion of the right C2-C3 facet joint.
    No definitive cord signal abnormality.

    The patient's degenerative changes result in the following:

    C2-C3: No significant canal or foraminal narrowing.

    C3-C4: Moderate-marked right, mild to moderate left-sided foraminal narrowing
    grossly similar.

    C4-C5: Moderate right, mild left-sided foraminal narrowing, similar.

    C5-C6: Moderate to severe bilateral foraminal narrowing, similar. Moderate
    canal stenosis, similar.

    C6-C7: Moderate left, mild right-sided foraminal narrowing. The left-sided
    foraminal narrowing is progressive from comparison. Mild canal narrowing,
    similar.

    C7-T1: No significant canal or foraminal narrowing.

    Impression:

    IMPRESSION:
    1. Multilevel degenerative disease notable for moderate-marked bilateral
    foraminal narrowing C5-C6, moderate left-sided foraminal narrowing C6-C7 that is
    mildly progressive from comparison. Moderate canal stenosis C5-C6 grossly
    similar.

    THORACIC SPINE MRI: Sept 28th 2015

    INDICATION: Worsening left-sided pain.

    COMPARISON: None available.


    REPORT: Diffuse multilevel thoracic disc space desiccation, mild to moderate
    disc space narrowing as well as scattered marginal osteophytes and broad annular
    bulges of varying sizes which efface the anterior thecal sac.

    Axial images included from T1-T6 demonstrates a moderate broad annular bulge
    eccentric to the right at T1-T2, moderate broad annular bulge at T2-T3, moderate
    broad annular bulge at T3-T4, moderate broad annular bulge at T4-T5 eccentric to
    the left and moderate broad annular bulge at T5-T6.

    Assessing the remaining levels on the sagittal images demonstrates:
    Left paracentral disc protrusion/extrusion at T7-T8 measuring roughly 5 mm in
    maximal AP dimension. Moderate annular bulges at T10-T11, T10-T12 and mild
    annular bulges elsewhere.

    Facet arthropathy is most pronounced at T6-T7 on the left where there is mild
    left foraminal narrowing.

    No definite cord signal abnormality.

    Impression:

    IMPRESSION:
    1. Moderate multilevel degenerative disc disease notable for a left paracentral
    disc protrusion/extrusion at T7-T8 as well as moderate multilevel broad annular
    bulges.

     
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