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  • Cervical spine MRI without contrast - translation please

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    Old 06-27-2013, 05:09 PM   #1
    Melosgirl
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    Cervical spine MRI without contrast - translation please

    Can anyone out there translate this? I hope to see neurosurgeon for first visit next week:


    Indication: Neck pain, 723.1, right sided cervical radiculopathy.

    Multi-plane and multi-sequence MRI of the cervical spine is performed without contrast. The patient had radiographs of the cervical spine 6/18/13/

    FINDINGS: There is straigtening and minimal reversal of the normal cervical lordosis. There is no cervical spine compression fracture. There is a T1 and T2 hyperintense lesion in the left aspect of the T2 vertebral body, which loses signal on inversion recovery imaging felt to reflect a hemangioma.
    The craniocervical junction is open. The Atlantic-dental interval is maintained.

    C2-C3 level demonstrates minimal bony ridging, and uncovertebral hhypertrophy, bilaterally. There is no significant spinal canal stenosis or foraminal encroachment.

    C3-C4 level demonstrates facet and uncovertebral hypertrophy, with mild biforaminal encroachment but no significant spinal canal stenosis.

    C4-C5 level demonstrates bony ridging, and asymmetric facet and uncovertebral hypertrophy with severe right sided foraminal encroachment, and mild left sided foraminal encroachment. There is mild ventral effacement of CSF but no significant spinal canal senosis at this level.

    C5-C6 level reveals diffuse disc bulge, bony ridging, facet and uncovertebral hypertrophy, with very mild spinal canal stenosis circumferentially. There is severe biforaminal encroachment.

    C6-C7 level reveals facet and uncovertebral hypertrophy, with minimal foraminal encroachment and no significant spinal canal stenosis.

    T1-T2 level reveals bony ridging, and facet hypertrophy, with moderate right and mild left sided foraminal encroachment. There is no significant spinal canal stenosis.
    There is no pre or paravertebral soft tissue swelling. On sagittal T2 and FLAIR imaging, although less well seen in the axial plane, there is increased signal within the C5-C6 cervical spinal cord, perhaps an area of myelomalacia. Post-Gadolinium imaging may be considered, as clinically indicated.
    There is mild generalized diminished T1 marrow signal, in the cervical spine, which may reflect red marrow reconversion. Please follow up clinically. There is no bone marrow edema. There are mild end plate changes C5-C6 level.

    IMPRESSION:

    1. Straightening and minimal reversal of the normal cervical lordosis.

    2. Bony facet and uncovertebral hypertrophy, and bony ridging, resulting in multi-level severe foraminal encroachment, most notable right C4-C5 level, bilateralC5-C6 and C6-C7 levels, with spinal canal stenosis, mild at C5-C6 level. There is also asymmetric right sided foraminal encroachment, in the upper thoracic region as described.
    On sagittal T2 and FLAIR imaging, although less well seen in the axial plane, there is increased signal, within the C5-C6 cervical spinal cord, perhaps an area of myelomalacia. Post-Gadolinium imaging may be considered, as clinically indicated. There is no evidence of cervical spinal cord compression

    3. Mild generalized diminished T1 marrow signal of uncertain etiology. Red marrow conversion is a consideration. Please correlate and follow up clinically.

    4. The remainder of the findings are as described above.

     
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    Old 06-28-2013, 07:19 AM   #2
    WebDozer
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    Re: Cervical spine MRI without contrast - translation please

    At two levels, C4-5 (right only) and C5-6 (both sides), your foramina are being obstructed by bone overgrowth. The foramina are the holes in the front/side of the spinal cage which are the passages for nerves leaving the spinal cord and heading down to the shoulders/arms/hands. You have bone overgrowth coming from the sides (facets) and in front (uncovertabral). If your right C5 nerve is affected, you might feel pain in the neck (right side) or problems (weakness, pain/soreness, tingling, etc) with your deltoid and/or biceps muscles. If your C6 nerves are affected, this could lead to symptoms in the triceps and running down to the thumbs.

    A relatively minimally-invasive surgery called a foraminotomy might be able to clear this up. I know it can deal with facet overgrowth (as I have had it done) but I'm not sure about uncovertabral overgrowth, as there may be an access problem.

     
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