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Cervical MRI Interpretation Help?


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Old 06-27-2013, 10:56 AM   #1
kaneary
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Cervical MRI Interpretation Help?

Hi, I'm wondering if anyone can help me understand my MRI report? I've had chronic neck pain since a parking garage hit the back of my neck/head in 10/01, but in 8/12 I was hospitalized for Viral Meningitis (ironically, 2 ks after my cervical spinal injections, but determined NOT fungal). An MRI was done then, but I never saw that report. Since that time, I've had increased serious pain and am trying to figure out how to proceed. I've had so many injections and am wary of going back for more... I was told I'm NOT a candidate for surgery and have had conflicting opinions regarding the Radial Frequency ablation procedure (Kaiser).

Here are findings from this week's MRI - any help is MUCH appreciated!!!

** FINDINGS **:
Comparison: 8/20/12

TECHNIQUE: Multiplanar multisequence MR images were obtained
through the cervical spine without intravenous gadolinium.

There is straightening of the normal cervical lordosis. Vertebral
body heights are maintained. There is mild disc space narrowing at
C4-5 and moderate disc space narrowing at C5-6 and C6-7, slightly
progressed from the prior study. Endplate marrow degenerative
changes are seen at C6-7. The cerebellar tonsils are unremarkable.
A T2 hyperintense area in the left cerebellum is incompletely
visualized, and likely represents previously seen area of
encephalomalacia on the MRI brain from 2/16/12. The cord is normal
in configuration. No abnormal signal in the cord is identified.

Individual axial levels as follows:

C2-C3: Disc osteophyte complex and facet joint hypertrophy are
present. The central canal and bilateral neural foramina are
patent.

C3-C4: Disc osteophyte complex and facet joint hypertrophy cause
mild-moderate left neural foraminal narrowing, similar to the
prior study. The central canal and right neural foramen are patent.

C4-C5: Disc osteophyte complex and facet joint hypertrophy cause
minimal flattening of the thecal sac. Bilateral neural foramina
are patent.

C5-C6: Central/right paracentral disc osteophyte complex and facet
joint hypertrophy cause moderate flattening of the thecal sac and
mild-moderate right and mild left neural foraminal narrowing,
similar to the prior study.

C6-C7: Disc osteophyte complex and facet joint hypertrophy cause
moderate flattening of the thecal sac and mild left neural
foraminal narrowing. The right neural foramen is patent.

C7-T1: The central canal and bilateral neural foramina are patent.

** IMPRESSION **:
Multilevel degenerative changes, similar to slightly progressed
from the prior study given differences in technique.

 
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Old 06-28-2013, 08:10 AM   #2
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Re: Cervical MRI Interpretation Help?

Just based on the radiologist's reading, I don't see anything that should be addressed surgically. Looks pretty benign, to my amateur's eyes.

"encephalomalacia" sure doesn't look benign, though. Resulting from the meningitis, perhaps? At any rate, it's not a cervical spinal thing, and I can't comment further...

 
Old 06-30-2013, 09:45 AM   #3
nochange
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Re: Cervical MRI Interpretation Help?

Hello. Was it a whiplash? How did this accident happen?
Do you have problems turning your neck?

Straightening of the lordosis can cause pain (some doctors don't addres that yet).
That is one thing. Also, perhaps you have muscle pain.
If you are suffering from pain all the time, then you should think about taking pain meds.

 
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