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09-03-2021, 03:48 PM | #1 | ||
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Can someone help me understand my CT CERVICAL SPINE WITHOUT CONTRAST I' am having exhaustion walking, weakness in my shoulders, arms, and pain. Should I have surgery?
TECHNIQUE: Multidetector CT imaging of the cervical spine was performed without intravenous contrast. Multiplanar CT image reconstructions were also generated. COMPARISON: None. FINDINGS: Alignment: Straightening and slight reversal of the upper cervical lordosis centered at the C4 level. No evidence of traumatic listhesis. No abnormally widened, perched or jumped facets. Normal alignment of the craniocervical and atlantoaxial articulations. Skull base and vertebrae: No visible skull base fracture. No vertebral body fracture or height loss is seen. Some mild arthrosis at the atlantodental interval. Additional multilevel spondylitic changes detailed below. Soft tissues and spinal canal: No pre or paravertebral fluid or swelling. No visible canal hematoma. Disc levels: Multilevel intervertebral disc height loss with spondylitic endplate changes. Features are most pronounced C4-C6 with maximal disc height loss and small disc osteophyte complex formations but without significant resulting canal stenosis. Uncinate spurring and facet hypertrophic changes throughout the cervical spine are also maximal at these levels with at most mild resulting bilateral foraminal narrowing C4-C7. Upper chest: No acute abnormality in the upper chest or imaged lung apices. |
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