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  • Neck MRI

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    Old 08-11-2014, 03:38 PM   #1
    cfriedman
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    Neck MRI

    I recently had an MRI of my neck and these were the findings. My primary MD said that it just showed arthritic changes. Should I be concerned? Here are the results.

    Findings:
    There is no discernible evidence of fracture, compression deformity, or dislocation. The bone marrow signal, disc space heights, delineated soft tissues, spinal alignment, cervicomedullary junction, and cord course, caliber, and signal are normal.

    C2-C3: There is moderate narrowing of the right neural foramen due to unconvertebral and facet joint hypertrophy. The spinal canal and left neural foramen are not significantly narrowed.

    C3-C4: There is advanced narrowing of the right neural foramen due to unconvertebral joint hypertrophy.The spinal canal and the left neural foramen are not significantly narrowed.

    C4-C5: Mild spurring marginating the posterior aspect of the disc space slightly effaces the ventral CSF space but does not abut the cord or yield overt spinal stenosis. There is mild left-sided and right sided neural foramina due to unconvertebral joint hypertrophy.

    C5- C6: The spinal canal and neural foramina are widely patent.

    C6-c7: There is broad spur-disc complex. The central CSF space is partially effaced, but there is no overt canal stenosis. There is slight narrowing of the right neural foramen due to unconvertebral joint hypertrophy. The left neural foramen is not significantly narrowed.

    C7-T1: A broad spur-disc complex does not significantly narrow the spinal canal. There is slight narrowing of the neural foramina due to unconvertebral joint hypertrophy.

     
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    Old 08-11-2014, 07:32 PM   #2
    ChuckStr
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    Re: Neck MRI

    You have some arthritic changes in your spine as nearly everyone does as they get older (about 90% will show some degeneration by age 70 in one study). How immediately concerning that is depends on the symptoms which prompted the MRI in the first place. My guess, would be neck pain and right sided back of the shoulder pain and possibly numbness/tingling. The statement "advanced narrowing of the right neural foramen..." at C3/C4 suggests a pinched C4 spinal nerve root which would lead to those symptoms.

    Another interesting thing is that the degenerative changes are occurring without the presence of significant disk degeneration. Generally the disks wear out, shrinking in height, which then causes rubbing of the vertebral surfaces which in turn causes the arthritic spur formations. Your disk heights are preserved according to the report. The problem with the arthritis, even at the other levels which are showing relatively mild current structural problems, is that it will get worse if the underlying condition isn't treated. That normally means PT to stabilize the neck up to surgery to remove the spurs if there is significant problems such as spinal cord compression. I am not a Dr so I don't really know what's going on in your specific situation, but there may be other conditions at play here such as rheumatoid arthritis, osteoporosis etc.

    I would follow up with your Dr and discuss how the MRI relates to your symptoms as well as what needs to be done to identify and address an underlying reason for the arthritis (if there is anything specific). You may want to discuss with a spine specialist as well if you aren't getting answers.

    Good Luck and let us know how it goes.

    Last edited by ChuckStr; 08-11-2014 at 07:39 PM. Reason: added detail

     
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