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  • My Life Filled With Pain

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    Old 04-22-2014, 06:41 AM   #1
    Mzdaisy1029
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    Join Date: Apr 2014
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    Mzdaisy1029 HB User
    Angry My Life Filled With Pain

    Hi Everyone, I'm a newbie and would like to know anyone's opinion on my full spinal MRI, specifically MYELOMALACIA. I am familiar with most of the findings, I just wanted other opinions. Considering changing my neurosurgeon, I feel he isn't telling me everything. Just brushes things off to arthritis, which I do know is present, but there are other things going on from what I'm feeling and the findings that he's not even willing to take the time to answer my questions about. What I'm feeling isn't in my head, I live with CONSTANT, DAILY PAIN, and this is just my spine, not including the other areas of my body. Thanks in advance .


    Technique:
    Sagittal T1, sagittal fast spin-echo T2, axial T2 weighted fast spin
    echo and axial T2 weighted gradient images of the cervical spine were
    obtained. Sagittal and axial T1 weighted images were obtained after
    the intravenous injection of 20 ml. of Magnevist from a single dose 20
    mL vial.

    Axial and sagittal T1 and T2-weighted images of the thoracic and
    lumbar spine were obtained without the administration of intravenous
    contrast.

    Findings:
    Cervical spine:
    There is anterior fusion hardware of C4-C5. There is no evidence of
    fracture or subluxation. There is straightening of cervical lordosis.
    The craniocervical junction is unremarkable. Visualized intracranial
    structures are unremarkable.

    There is redemonstration of linear increased T2 signal within the left
    lateral aspect of the spinal cord at C4-C5 with associated mild cord
    atrophy. There is no expansile spinal cord lesion. There is no
    pathologic enhancement.

    There are multilevel degenerative changes of the cervical spine.

    At C2-C3, there is a left paracentral disc protrusion with mild
    flattening of the left ventral aspect of the spinal cord and
    flattening of the ventral left C3 nerve root.

    At C3-C4, there is a broad-based spur disc complex abutting the spinal
    cord and resulting in mild left neuroforaminal stenosis. The disc
    component at this level is smaller when compared with prior MRI,
    abutting the cord without spinal cord compression.

    At C4-C5, there is a broad-based disc spur complex with bilateral
    uncovertebral joint fusion resulting in mild to moderate bilateral
    neural foraminal stenosis.

    At C5-C6, there is a broad-based disc spur complex with moderate
    bilateral neuroforaminal stenosis. There is no significant spinal
    stenosis.

    At C6-C7, there is a broad-based disc spur complex with mild narrowing
    of the bilateral neuroforamina. There is no significant spinal
    stenosis.


    Thoracic spine:
    There is no evidence of fracture or subluxation. Vertebral body
    heights and alignment are maintained. There is no pathologic marrow
    signal. Thoracic spinal cord has normal caliber and signal intensity.
    There is right facet hypertrophy at T4-T5 with mild right
    neuroforaminal stenosis. At T5-T6, there is bilateral facet
    arthropathy with mild right neuroforaminal stenosis.

    Lumbar spine:
    The conus terminates at T12-L1. Caudal spinal cord has normal caliber
    and signal intensity.

    There is no evidence of fracture. Vertebral body heights are
    maintained. There is no pathologic marrow signal. There is grade 1
    anterolisthesis of L3 on L4 and grade 1 retrolisthesis of L4 on L5.
    Alignment is otherwise anatomic. There are multiple levels of disc
    desiccation and degenerative change.

    At L1-L2, there is a mild broad-based disc bulge with mild compression
    of the thecal sac.

    At L2-L3, there is a mild disc bulge with bilateral facet arthropathy
    resulting in mild impression upon the thecal sac.

    At L3-L4, there is mild broad-based disc bulge with small superior
    disc migration eccentric to the left. There is bilateral facet
    arthropathy. There is mild ventral and posterolateral thecal sac
    compression.

    At L4-L5, there is a broad-based disc bulge with inferiorly migrated
    disc protrusion eccentric to the right. There is bilateral facet
    arthropathy with mild sac compression.

    At L5-S1, there is a broad-based disc bulge with inferior migration
    and bilateral facet arthropathy without significant central or
    neuroforaminal stenosis.

    Impression:
    1. Anterior cervical fusion hardware with disc components at C3-C4
    abutting the cord and no longer compressing the cord.
    2. Unchanged linearly increased signal in the left lateral aspect of
    the spinal cord at the C4-C5 level with associated mild cord atrophy
    consistent with myelomalacia.
    3. Multilevel degenerative changes of the cervical spine as described
    above.
    4. Mild multilevel facet arthropathy and neuroforaminal narrowing of
    the thoracic spine.
    5. Multilevel degenerative changes of the lumbar spine as described
    above.

     
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