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  • Help with cervical mri results

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    Old 01-16-2015, 09:56 AM   #1
    rayv
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    Help with cervical mri results

    Please help me understand what these results really mean.

    Procedure(s):MR CERVICAL SPINE WO CONTRAST

    Date of service: 12/4/2014 7:41 AM
    Provided clinical information: 49 years, Male, "pain, numbness into

    arms, history disc issue with nerve impingement."

    Procedure and materials: Standard protocol.

    Contrast: None.

    Potential limitations: Patient motion artifact.

    Comparison studies: None.

    Observations:

    Multilevel intervertebral disc space narrowing, uncovertebral

    degenerative changes, posterior disc osteophyte complexes and facet

    hypertrophy are present. Cervical lordosis is maintained. Mild

    hyperintense STIR signal within the subcortical endplates at C5-C6 and

    C6-C7 likely represents remodeling. Facets appear well aligned and

    there is no splaying of the spinous processes. Spinal cord demonstrate

    normal homogeneous signal intensity throughout.


    Prevertebral musculature, paraspinous musculature/ligamentous

    complexes, submandibular/thyroid glands and overlying soft tissues

    appear normal. Bilateral cervical chain lymph nodes demonstrate no

    aggressive features. Brain parenchyma in the posterior fossa

    demonstrates mild prominence of the cerebellar tonsils at the level of

    the foramen magnum without ectopia.




    Findings by level (normal denotes no high-grade spinal canal or

    neuroforaminal narrowing):

    C1-C2: Osteophytic spurring and degenerative soft tissue yields

    flattening of the thecal sac anteriorly without significant spinal

    canal narrowing.


    C2-C3: Normal.


    C3-C4: Uncovertebral degenerative changes and posterior disc

    osteophyte complex yield mild spinal canal, moderate right and mild

    left neuroforaminal narrowing.




    C4-C5: Uncovertebral degenerative changes, posterior disc osteophyte

    complex and facet hypertrophy yield mild spinal canal and bilateral

    neuroforaminal narrowing.




    C5-C6: Uncovertebral degenerative changes, posterior disc osteophyte

    complex and facet hypertrophy yield moderate spinal canal, severe left

    and moderate right neuroforaminal narrowing. There is displacement and

    remodeling of the left cervical hemicord without abnormal spinal cord

    signal.




    C6-C7: Uncovertebral degenerative changes and posterior disc

    osteophyte complex yield mild spinal canal, moderate left and mild

    right neuroforaminal narrowing.




    C7-T1: Normal.







    IMPRESSION:

    Multilevel degenerative changes as detailed with the most significant

    level demonstrating moderate spinal canal, severe left and moderate

    right neuroforaminal narrowing. There is displacement and compression

    of the spinal cord without abnormal spinal cord signal.




    Urgency: IMPORTANT. This report contains IMPORTANT results which

    require clinical attention.

    Recommendation: No specific imaging recommendation.

     
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    Old 01-18-2015, 09:38 PM   #2
    ChuckStr
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    Location: seattle wa USA
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    Re: Help with cervical mri results

    Welcome to the board!

    It is usually helpful to view the results in light of whatever symptoms you may be having so posting your symptoms will lend context to the results.

    That said, the primary issues are at level C5/C6 which is just above the base of your neck. The vertebrae in your neck (the body of the vertebrae) are separated by spongy disks to allow cushioning and movement. Behind the vertebral body, is a bony ridge with a hole in it for the spinal cord to run through. Collectively this is known as the spinal canal. Jutting out to both sides of the vertebral bodies are bony prominences that have holes in them for the nerve roots coming off the spinal cord. There are known as the foramen. When the discs dry out and shrink, the bony ridges on adjoining vertebrae can rub on eachother creating bone spurs (osteophytes). You have a significant amount of this occurring on different vertebral surfaces, and these spurs are encroaching into the spinal canal and the foramen at this level. This is causing severe constriction of the left nerve root exit and moderate constriction of the right as well as moderate constriction of the spinal canal. This is on a scale of minimal, mild, moderate, severe. Of not is the spinal canal is constricted enough to cause movement and apparent damage of the spinal cord. Additionally, the severe neuroforaminal construction of the right nerve root could very well be causing pinching of the nerve at that level, although it doesn't confirm that in the report.

    These findings are significant. You should be under the care of a spine specialist ortho or neuro surgeon who can help further evaluate and determine the best course of treatment. Good luck and let us know how you get on.

    Last edited by ChuckStr; 01-18-2015 at 09:47 PM.

     
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