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  • mri cervical

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    Old 08-23-2014, 10:40 PM   #1
    eugen
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    mri cervical

    Clinical Notes: Radiculopathy.
    Findings: Reversal of the cervical lordosis associated with a 2mm grade 1 degenerative anterolisthesis at C3/4. Multilevel disc desiccation, loss of disc height and degenerative anterior marginal end plate osteophytic spurring. Multilevel facet joint degenerative arthropathy. No suspicious bone marrow signal abnormality. No paravertebral soft tissue abnormality. The cervicomedullary junction is normally sited with the spinal cord of normal signal and volume down to the most visualised level at D4/5.
    C2/3: Moderate left facet joint degenerative arthropathy with mild left foraminal narrowing.
    C3/4: Anterolisthesis, a small superiorly pointing central disc extrusion, moderate bilateral uncovertebral and marked left plus mild right facet joint degenerative arthropathy, the latter associated with effusions bilaterally. Moderate canal stenosis with mild cord flattening. Severe left and moderate to severe right foraminal narrowing with impingement at both exiting C4 nerve roots.
    C4/5: Broadbased disc bar, moderate right and mild left uncovertebral plus
    moderate canal stenosis with mild cord flattening on the right. Severe right and mild left foraminal narrowing with impingement of the exiting right C5 nerve root.
    C5/6: Small broadbased disc bar and moderate left uncovertebral joint degenerative arthropathy. Mild to moderate canal stenosis with mild cord flattening on the left. Severe left foraminal narrowing with impingement of the exiting left C6 nerve root.
    C6/7: Small broadbased disc bar and moderate bilateral uncovertebral joint degenerative arthropathy. Mild central canal stenosis. Severe bilateral foraminal narrowing with impingement at both exiting C7 nerve roots.
    C7/T1 to T2/3: Posterior disc contour is normal.
    T3/4 and T4/5: Moderate right facet joint degenerative arthropathy with moderate right foraminal narrowing and impingement of the exiting right T3 and T4 nerve roots.
    Conclusion: Multilevel degenerative spondylotic change as described. Spinal canal stenosis associated with mild cord flattening between C4/5 and C6/7. Compressive foraminal narrowing seen bilaterally at C3/4, right at C4/5, left at C5/6, bilaterally at C6/7 and on the right at T3/4 and T4/5.


    Can anyone explain to me what happen with my neck pain?

    Last edited by mod85; 08-25-2014 at 05:30 AM.

     
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    Old 08-25-2014, 07:41 AM   #2
    Lionor
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    Re: mri cervical

    Based on the MRI it looks like you have moderate stenosis from herniated discs and bone spurs along your cervical spine. You also look to have foraminal stenosis on multiple levels - some casuing impingement. They list the foraminal stenosis as severe.

    On the plus side it shows your signal as normal - meaning compression hasn't advanced to the stage of impingement of your central cord.

    Bone spurs, arthritis, central and foraminal stenosis, straightening of the spine and DDD. There are a lot of people on this board with similar issues and we will tr and provide what help we can.

    We don't know your history or age, this could be somewhat attributed to aging, or to an injury. Also do not know what symptoms you have (e.g. upper arm weakness, pain, tingling in the hands etc.).

     
    Old 09-01-2014, 05:31 AM   #3
    eugen
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    Re: mri cervical

    I am 72 years old and I have only pain. I have osteoporoses I do not know what I have to do!!!!!!!!

     
    Old 09-01-2014, 12:39 PM   #4
    ChuckStr
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    Re: mri cervical

    Where specifically do you have pain? Is it only in your neck or down into your shoulders and arms?

    Osteoporosis could explain the severity of degeneration along your spine, although nearly everyone has some degeneration by your age.

    Any place you see nerve root impingement it means that something is pressing on that nerve which can cause pain, tingling, weakness and atrophy over time radiating down your arms. Where you see "flattening of the cord" it means some vertebral material is pushing on your spinal cord (mildly in your case). This is probably not causing symptoms now but could in the future if the compression gets worse.

    I'm not a Dr, but I suggest you see a spine specialist about this you if you are currently not. They can help correlate symptoms with your MRI and recommend appropriate treatment. You probably also want to make whomever diagnosed your osteoporosis aware of the MRI as well so they can adjust treatment if necessary. The degeneration is likely to get worse without treatment. One final thought. I would be wary and get multiple opinions if surgery is suggested. Your age, the extent of the damage and the osteoporosis make it a challenging surgery with a greater chance of complications.

    Good luck and let us know how it goes.

     
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