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Someone PLEASE explain these MRI results!!! Cervical and Lumbar
Cervical:
Craniocervical junction is unremarkable. No cerebellar tonsillar ectopia is seen. No abnormal cord signal is identified. There is congenital narrowing of the osseous central canal from C3-C4 through C6-C7 level. Osseous central canal measures 9 mm in AP dimension. C2-C3 level shows no significant osseous central canal or for animal stenosis. C3-C4 " " C4-C5 " " C5-C6 level shows a posterior disc osteophyte complex which impresses on the anterior thecal sac and mildly defines the cord. There is moderate narrowing of the bilateral intervertebral vitamins. C6-C7 level shows no significant osseous central canal or foraminal stenosis. Mild posterior disc is identified. C7-T1 level is unremarkable. Impression: Moderate posterior disc at C5-C6 produces moderate narrowing of the osseous central canal. There is moderate narrowing of bilateral intervertebral vitamins at this level. Patient has background congenital narrowing of the osseous central canal from C3-C6. Lumbar: There is straightening of the normal lordotic curvature. Conus terminates at the T12-L1 level. No abnormal signal is identified within the conus. Sagittal evaluation of the T11-T12 and T12-L1 discs shows no significant disc pathology. Osseous central canal and bilateral intervertebral foramina are patent. L1-L2 level shows appropriate disc signal. Osseous central canal and bilateral intervertebral foramina are patent. L2-L3 " " Nerve roots are evenly distributed throughout the thecal sac. L3-L4 " " L4-L5 " " L5-S1 shows a posterior disc protrusion. No significant osseous central canal or intervertebral foraminal stenosis is identified. The traversing S1 roots are interposed between disc material and ligamentum flavum without evidence of impingement. Saggital sequence shows a posterior annular tear. No marrow edema is identified within the vertebral bodies or the vesicles. Impression: Posterior disc L5-S1 with a posterior annular tear. No evidence of root impingement is seen. Horseback riding accident on October 5, 2013. Grade 3 concussion, neck and back injuries, broken ribs. I understand some of this but some of it I don't. I am hoping someone can dissect this for me and put it in layman's terms. If anyone has similar injuries and can tell me my tx options that would be helpful. I don't go back to the Dr for several weeks and I am really stressed after getting these results without having much of an explanation to go with them. Thank so much!!!! |
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I know which parts are significant. What I want to know mostly is about the deforming if my cord due to the posterior osteophyte complex which is impressing on my anterior thecal sac. I am pretty sure I understand what the rest of it all means in terms of what it is and recommendations for tx etc....I just have not heard enough about these osteophyte complexes. I wanted to know more from anyone who has dealt with the same thing or has knowledge they can share. Thanks!! |
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