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    Old 01-31-2015, 01:55 AM   #1
    painandfrustrat
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    Red face Need hekp understanding MRI breakdown

    CLINICAL HISTORY: Frequent neck pain, bilateral upper extremity
    radiculopathy and paraesthesias.
    TECHNIQUE: MRI of the cervical spine performed 01/28/15.
    FINDINGS: There are mild degenerative changes of the cervical spine,
    with minimal diffuse central spinal canal narrowing likely the result
    of congenitally short pedicles.
    Most notably at C5-C6 there is mild broad based posterior osteophyte
    disc complex, mild facet hypertrophy, minimal uncovertebral joint
    hypertrophy resulting in overall mild to moderate central spinal
    canal narrowing with subtle minimal neuroforaminal narrowing.
    At C6-C7, there is mild posterior osteophyte disc complex, mild facet
    hypertrophy, minimal uncovertebral joint hypertrophy resulting in
    overall mild central spinal canal narrowing with subtle minimal
    neuroforaminal narrowing.
    At C4-C5, there is mild posterior osteophyte disc complex with a
    small broad based central component extending slightly inferiorly.
    Mild facet hypertrophy resulting in overall mild to possibly moderate
    central spinal canal narrowing with subtle minimal right
    neuroforaminal narrowing.
    At C3-C4, there is mild broad based focal central posterior
    osteophyte disc complex, mild facet hypertrophy resulting in overall
    mild central spinal canal narrowing with subtle minimal right
    neuroforaminal narrowing.
    The remainder of the cervical discs are unremarkable.
    The cervical cord is normal in caliber and signal intensity. The
    craniocervical junction is normal.
    The bone marrow demonstrates mild diffuse heterogeneity. There is no
    focal pathologic signal alteration or acute compression fracture or
    edema. There are scattered endplate degenerative changes. The
    interspinous ligaments, the paraspinous muscles are negative.



    Impression
    IMPRESSION:
    1. There are mild multilevel cervical degenerative changes as
    detailed above, greatest at C5-C6 > C4-C5, C6-C7 levels, with
    additional congenitally short pedicles, which results in overall -
    mild to moderate central spinal canal narrowing with minimal
    multilevel neuroforaminal narrowings.
    This constellation of relatively subtle findings most
    notably at C5-C6 likely corresponds to the patient's main
    symptomatologies. Clinical correlation is advised.
    2. There are other chronic and incidental findings as
    detailed above.
    Otherwise there are no large focal disc extrusions,
    critically significant central stenosis, cord signal abnormalities or
    pathologic bony signal abnormalities.

     
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