Been about a week since it was done but have not recieved a call from my doctor to come in for the report. So i picked it up myself and waiting to hear from them. I am 7 years post opt 2 surgeries/2 cervcal fusions c5/c6 & c6/c7.
There is evidence of fusion c5-c6. Good alignment. The hardware and vertibral bodies could not be optimally evaluated due to the magnectic susceptibility artifactacts.
There is loss of disc height & signal at level c3-c4, c4-c5, & c7-t1 representing degeneration/desiccation of the discs.
The bone marrow signal of the vertebral bodies & posterior elements appear normal with no evidence of focal enhancement.
c2-3 unremarkable
c3-4 Moderate sized disc osteophyte complexes seen without a significant compression on the thecal sac or the nerve roots. The facet joints appear normal. No evidence of sinal stenosis.
c4-5 There is prominant uncinate spur assymmetrically more towards the rights & moderate facetal arthropathy. There is narrowing of the right neural foramen c4-5 which was also notes in the previous study 1/2011. The left nerual fomrmina appear normal, no evidence of spinal stenosis.
c5-6 There is diffuse enlargement of the right nerve roo c6 whch shows contrast enhancement & a small surrounding fluid in the right neural foramen. This may represent neuropathy /neuritis. This was not notes in the previous study. There is a 5.5 x3.7 MM extradural meningeal cyst in the latter part of the left neural foramen c5-c6 displacing the left nerve root c6 anteriorly. This is unchanged since the previous study. No evidence of spinal stenosis at this level.
c6-7 No evidence of neural foraminal or spinal canal stenosis. the facet joints appear unremarkable.
c7-t1 Unremarkable
The size & signal of the cervical spinal cord appear normal. There are some serpiginous areas of signal void seen in the cervical spinal cord which i believe represent imaging artifacts. Remote possibility of these representing tortuous spinal dural veins? May not be excluded. Images obtained after contrast enhancement do not show any areas of focal abnormal enhancement in the cervical spinal cord, vertebral bodies or the poseriror elements.
Impression:
1) Moderate severe right neural foraminal stenosis c4-5 which was also noted in the previous study 1/2011 & is unchanged in the interval
2) Moderate thickening of the right nerve root c6 with a surrounding fluid may represent neurapathy./. This waas not visualized in the previous study.
3) A small extradural meningeal cyst posterior to the left nerve root c6 with displacing the nerve root anteriorly.
4) Anterior spinal fusion c5-c7. Good alignment of the vertebral bodies.
5) Degeneration/desiccation of the intervertebral discs level c3-4, c4-5,c7-t1
6) other findings as above.
Can any translate or decifer any of this for me please????
