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-   -   May I post my mri report? (https://www.healthboards.com/boards/spinal-cord-disorders/1041998-may-i-post-my-mri-report.html)

Txgunslinger 04-21-2018 07:13 AM

May I post my mri report?
 
Hello all. Iím struggling with pain in my neck, shoulders, arms, back, and legs. I have numbness, tingling, burning and electrical storms. In order to be in the least amount of pain possible, I have to be reclined with my feet up and my knees bent. Standing or walking for more than a minute begins to accelerate the pain I feel. When I describe my pain please understand that I have had numerous painful experiences that include radio frequency ablation without pain meds or sedation and I didnít even flinch. The pain I now feel every day is much worse than the rfas or sinus surgery, even rampant infection in my hand that hospitalized me for a week. Iíd like to get your take on my latest mri report. I had my c t and l spine imaged and t with contrast. Iím just hoping to get some insight to what is ahead.
Thank you in advance.

Txgunslinger 04-21-2018 08:50 AM

Re: May I post my mri report?
 
REPORT
MRI OF THE CERVICAL SPINE WITHOUT IV CONTRAST
CLINICAL INDICATION: Radiculopathy, lumbar region
FUSION IN 2016 HAS NECK PAIN AND NUMBNESS AND SHARP PAIN DOWN BOTH
ARMS INTO
FINGERS (accession 00005MR180017534), LOW BACK PAIN, HAS HAD 3
SURGERIES LAST
ONE IN JUNE 2017 GETS PAIN DOWN BOTH LEGS AFTER STANDING LONGER
THAN AN HOUR
(accession 00005MR180017535), MID BACK PAIN (accession 00005MR180017533)
TECHNIQUE: Sagittal T1-, T2-, and T2-w fat-saturated images, and axial T2-w and
T2-GRE images of the cervical spine.
COMPARISON: 2/6/2017
FINDINGS:
The cervical spine demonstrates straightening of the normal cervical lordosis.
ACDF involving C4 and C5 with associated susceptibility artifact. Bony fusion of
the C4-C5 disc space.
Vertebral bodies are normal in height.
There is a normal marrow signal pattern.
Multilevel disc space narrowing at C5-C6 and C6-C7, not significantly changed.
Anterior osteophytosis at C5-C6 and C6-C7
The cervical spinal cord is normal in signal intensity.
The craniocervical junction is normal. The included intracranial structures are
grossly normal. The paraspinal soft tissues are normal.
Evaluation of the individual levels demonstrates:
C2-3: Mild circumferential disc bulge eccentric to the left with left-sided
uncovertebral and facet hypertrophy. Incomplete effacement of the ventral CSF
space. Left-sided neural foramina narrowing. Findings are unchanged since the
prior study.
C3-4: Mild to moderate circumferential disc osteophyte complex with mild mass
effect on the cord. Dorsal CSF space is incompletely effaced. Bilateral
uncovertebral and facet hypertrophy with bilateral neural foramina narrowing.
Findings are not significant changed since the prior study.
C4-5: Mild bony overgrowth is noted posteriorly along the disc space causing
abutment of the cord but no mass effect. Bilateral uncovertebral and facet
hypertrophy with mild right-sided neural foramina narrowing.
C5-6: Mild circumferential disc osteophyte complex with mild mass effect on the
cord. Dorsal CSF space is widely patent. Bilateral uncovertebral and facet
hypertrophy with bilateral neural foramina narrowing, unchanged since the prior
study.
C6-7: Mild to moderate circumferential disc osteophyte complex with abutment of
the cord but no mass effect. Bilateral uncovertebral and facet hypertrophy with
bilateral neural foramina narrowing.
C7-T1: Normal
No posterior triangle or jugular chain lymphadenopathy. Normal vascular flow
voids within the vertebral arteries bilaterally.
IMPRESSION:
1. Straightening of the normal cervical lordosis, presumably related to the
patient's ACDF, not significantly changed since the prior study. Multilevel
degenerative disc disease with at least partial bony fusion involving C4-C5.
2. Multilevel degenerative disc disease, not changed since the prior study.
MRI OF THE LUMBAR SPINE WITHOUT IV CONTRAST
CLINICAL INDICATION: Radiculopathy, lumbar region
FUSION IN 2016 HAS NECK PAIN AND NUMBNESS AND SHARP PAIN DOWN BOTH
ARMS INTO
FINGERS (accession 00005MR180017534), LOW BACK PAIN, HAS HAD 3
SURGERIES LAST
ONE IN JUNE 2017 GETS PAIN DOWN BOTH LEGS AFTER STANDING LONGER
THAN AN HOUR
(accession 00005MR180017535), MID BACK PAIN (accession 00005MR180017533)
TECHNIQUE: Sagittal T1-, T2-, and T2-w fat-saturated, and axial T1- and T2-w
images of the lumbar spine.
COMPARISON: 2/4/2016
FINDINGS:
For purposes of this dictation, it is assumed that there are 5 non-rib-bearing,
lumbar-type vertebrae, and the most caudal fully segmented lumbar vertebra is
labeled L5.
The lumbar spine demonstrates grade 1 anterolisthesis. Bilateral pedicle screw
and rod fixation at L3-L5 with posterior decompression at L3 and L4. Increased
T2 signal within the soft tissues of the posterior decompression site.
Vertebral bodies are normal in height.
Hemangioma at L5, L4, L3 and L1.
Disc space narrowing at L4-L5
The conus medullaris terminates at a normal level and the nerve roots of the
cauda equina appear normal.
The included paraspinal soft tissues and retroperitoneal structures are grossly
normal.
Evaluation of the individual levels demonstrates:
L1-2: Normal
L2-3: Minimal circumferential disc bulge with impression on the ventral thecal
sac. Bilateral facet and ligamentum flavum hypertrophy which appears to be more
prominent than on the prior study. Moderate to severe central canal stenosis
with bilateral neural foramina narrowing.
L3-4: Posterior fusion hardware. No significant disc bulge or neural foramina
narrowing. Susceptibility artifact does limit evaluation somewhat.
L4-5: Posterior fusion hardware and decompression. Bilateral facet degenerative
changes with bilateral neural foramina narrowing. No central canal stenosis.
Moderate pseudodisc bulge related to anterolisthesis with impression on the
ventral thecal sac.
L5-S1: Minimal circumferential disc bulge with no significant impression on the
ventral thecal sac. Bilateral facet hypertrophy. Bilateral neural foramina
narrowing. No central canal stenosis.
IMPRESSION:
1. Interval bilateral pedicle screw fixation of L3-L5 with posterior
decompression at L3 and L4.
2. Grade 1 anterolisthesis of L4 on L5. Multilevel degenerative disc disease
most significant at L2-L3 where there is moderate to severe central canal
stenosis and bilateral neural foramina narrowing, which is mildly worsened in
the interval.
MRI OF THE THORACIC SPINE WITHOUT AND WITH IV CONTRAST
CLINICAL INDICATION: Radiculopathy, lumbar region
FUSION IN 2016 HAS NECK PAIN AND NUMBNESS AND SHARP PAIN DOWN BOTH
ARMS INTO
FINGERS (accession 00005MR180017534), LOW BACK PAIN, HAS HAD 3
SURGERIES LAST
ONE IN JUNE 2017 GETS PAIN DOWN BOTH LEGS AFTER STANDING LONGER
THAN AN HOUR
(accession 00005MR180017535), MID BACK PAIN (accession 00005MR180017533)
TECHNIQUE: Pre-contrast sagittal T1-, T2-, and T2-w fat-saturated images, and
axial T1-w and T2-w images of the thoracic spine. Post-contrast axial T1-w and
sagittal T1-w fat-saturated images. Intravenous contrast material was
administered for the examination.
COMPARISON: None.
FINDINGS:
The thoracic spine demonstrates normal alignment.
Vertebral bodies are normal in height.
There is a normal marrow signal pattern. Hemangioma at T6 and possibly at T2
Intervertebral discs are normal in height and signal intensity.
The thoracic spinal cord is normal in size, contour and signal intensity.
The included intrathoracic structures are grossly normal. The paraspinal soft
tissues are normal.
Evaluation of the individual levels demonstrates no evidence of disc herniation,
spinal canal stenosis, or neural foraminal narrowing.
There is no abnormal intramedullary or leptomeningeal enhancement.
The right 10th rib demonstrates increased T2 signal with patchy increased and
decreased T1 signal and associated enhancement.
IMPRESSION:
No large disc bulges, central canal stenosis or neural foramina.
2. Right 10th rib demonstrates increased T2 signal with patchy increase and
decreased T1 signal and associated enhancement. Finding is of uncertain
etiology. Finding could relate to fibrous dysplasia although metastatic disease
cannot be entirely excluded. In and out of phase MRI imaging of the thoracic
spine may be useful for further evaluation. Metastatic disease is most likely in
a patient with known primary malignancy.


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