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  • MRI Help?

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    Old 12-15-2014, 10:37 PM   #1
    anok
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    MRI Help?

    MRI CERVICAL SPINE WO CONTRAST
    TECHNIQUE: Multiplanar sequences through the cervical spine are obtained.
    PRIOR EXAMS: No prior studies are available for comparison.
    FINDINGS
    VERTEBRAL HEIGHT: Vertebral bodies are normal in height.
    VERTEBRAL ALIGNMENT: Vertebrae are normally aligned.
    VERTEBRAL BONE MARROW: There is no abnormal bone marrow signal.
    DISC SPACE: Disc spaces are relatively well-maintained. There is mild multilevel disc
    desiccation.
    PARAVERTEBRAL SOFT TISSUES: Unremarkable.
    LEVELS
    C1-C2: Unremarkable.
    C2-C3: There is no central stenosis or disc herniation. Foramina are patent.
    C3-C4: There is a mild disc/osteophyte ridge minimally effacing the anterior subarachnoid
    space but causing no significant central stenosis. Uncovertebral joint hypertrophy causes
    mild foraminal narrowing.
    C4-C5: There is no central stenosis as described herniation. Foramina are patent.
    C5-C6: There is a mild disc/osteophyte complex with a small broad-based central protrusion
    effacing the anterior subarachnoid space but causing no significant central stenosis.
    Uncovertebral joint hypertrophy causes mild to moderate bilateral foraminal narrowing.
    C6-C7: There is a small central broad-based protrusion effacing the anterior subarachnoid
    space but causing no significant central stenosis. Uncovertebral joint hypertrophy with a
    small left foraminal broad-based herniation causes moderate left foraminal narrowing.
    C7-T1: There is no central stenosis or disc herniation. Foramina are patent.
    SPINAL CORD: Signal in the cervical cord is normal.
    IMPRESSION:
    C3-C4 mild disc/osteophyte with no central stenosis. Mild foraminal narrowing is present.
    C5-C6 mild disc/osteophyte with a small broad-based central protrusion effaces the anterior
    subarachnoid space but causes no central stenosis. Uncovertebral joint hypertrophy causes
    mild-to-moderate foraminal narrowing.
    C6-C7 small central broad-based protrusion effaces the anterior subarachnoid space but
    causes no central stenosis. Uncovertebral joint hypertrophy with a small left foraminal
    broad-based herniation causes moderate left foraminal narrowing.

    Is there much to be concerned about here? Any input would be helpful!

     
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    Old 12-16-2014, 09:02 PM   #2
    anok
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    Re: MRI Help?

    77 views and no reply, really?

     
    Old 12-17-2014, 12:04 PM   #3
    ChuckStr
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    Re: MRI Help?

    The report indicates generally mild arthritic changes to your cervical spine. Your profile doesn't list your age, but nearly everyone, experiences degenerative changes like this as they get older. So if you are older than say 40 and have no symptoms I would say your findings don't warrant much concern. My guess, however is that you do have symptoms which prompted the MRI in the first place.

    My guess at symptoms if they are related to the report, is pain, numbness or tingling possibly in the neck down into your left shoulder and arm, possibly also radiating into the hand.

    The vertebrae in your spine are separated by spongy discs that provide cushioning and allow movement. These discs are made of about 90% water. Over time, they start to dry out. This is the "dessication" you see listed in the report. With the discs eroded, the bony surfaces of the vertebrae can rub on each other creating bone spurs or osteophytes. These can press into the central canal that houses your spinal cord or, as in your case, into the openings between the vertebrae (neural foramina) that allow the nerve roots to exit. This reduction of space is called stenosis and is generally graded on a scale of minimal, mild, moderate, severe. Your worst level is moderate stenosis of the left neural foramen at c6/c7. This provides muscle enervation and sensory conduction through the neck and shoulder region down through the arm and into part of the hand. When there is foraminal stenosis the nerve root at that level can be pinched. This will cause pain and other sensory symptoms in the sensory distribution pattern of that nerve. This is called radiculopathy. You can look up dermatome map to see the exact distribution of sensory impulses for each nerve root.
    In addition, to the c6/c7 stenosis you have milder stenosis at other levels as well.

    Generally this radiculopathy goes away with conservative treatment. Your physician will probably prescribe physical therapy which can help with pain and help strengthen muscles to support the neck in the proper position which can prevent additional wear on the vertebrae. They may also prescribe anti-inflammatories of some kind to reduce inflammation which is almost always a contributing factor in radiculopathy. Posture is often a contributing factor and PT can help address that as well.

    If you are not feeling relief over a couple of months it would becwise to follow up with a spine specialist fellowship trained Orthopedic or specialist neurosurgeon that deals with only spine issues. They will be able to track progress and recommend further treatment if needed.

    Take care and let us know how you get on...

     
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