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new here and worried about MRI please help
HI everyone
I am new here and am hoping someone can read my MRI before I go to the ortho again. I have had two surgeries one on my L4 L5 and also on C4c5c6c7 I now have a herniated s1 that is not too bad ( but it sure does hurt) but they are most worried about my neck. I am in pain 24 7 and was hoping to get insight into the terms on my MRI ... there were two done thanks in advance for any help from any one at all :confused: EXAM: Cervical spine CT without contrast. CLINICAL HISTORY: Back pain. COMPARISON: None. TECHNIQUE: Contiguous axial images were obtained with subsequent generation of two-dimensional coronally and sagittally reformatted images. FINDINGS: Evidence for prior anterior cervical discectomy and fusion from C4 through C7 with presumed bone graft material projecting from C4 through C6, as well as an additional area of presumed bone graft in the region of the superior endplate of C7. Lateral masses of C1 are symmetric. Anterior atlantodental interval appears preserved. Minimal grade 1 anterolisthesis at C2-3. No evidence of hardware fracture or hardware loosening. Vertebral body heights appear maintained. Straightening of normal lordosis. No acute fracture identified. C2-3: Facet and uncovertebral arthropathy causes at least moderate right neural foraminal stenosis. C3-4: Facet and uncovertebral arthropathy causes severe left and mild right neural foraminal stenosis. C4-5 through C7-T1: No significant osseous neural foraminal narrowing. Central spinal canal is better demonstrated on dedicated MRI done the same date. IMPRESSION: 1. Osseous neural foraminal narrowing at C2-3 and C3-4, described above. 2. Postoperative changes from C4 through C7. 3. Please refer to cervical spine MRI report from the same date four additional findings and better assessment of the central spinal canal. and the second one : XAM: MRI of the cervical spine without contrast. CLINICAL HISTORY: Back pain. COMPARISON: CT on the same date. TECHNIQUE: Sagittal/axial T2 weighted, sagittal T1-weighted, sagittal STIR, and axial gradient echo T2* sequences. FINDINGS: Vertebral body heights and alignment appear maintained. No intrinsic spinal cord lesions identified. C2-C3: Posterior disc osteophyte complex with facet and uncovertebral arthropathy causing severe right neural foraminal stenosis. C3-C4: Posterior disc osteophyte complex with facet and uncovertebral arthropathy causing severe bilateral neural foraminal stenosis and mild central canal stenosis. C4-C5: No significant stenosis. C5-C6: Asymmetric left uncovertebral arthropathy causing mild left neural foraminal narrowing. C6-C7: Posterior osteophytes, eccentric to the right, causing ventral thecal sac effacement. C7-T1: Asymmetric left facet and uncovertebral arthropathy causing mild left neural foraminal stenosis. IMPRESSION: 1. Postoperative and degenerative changes, described above. Assessment for infection is limited without IV contrast. Please refer to cervical spine CT report from the same date. |
Hi trueblue
Oh how I wish I could interpret these things. It is like trying to read another language upside down and inside out, isn't it.
I doubt there are many here who are qualified to master this task, but hopefully a few will give you some good input and suggestions. I'm sorry you are going through all of this. I can certainly empathize with you b/c of the problems I'm having with my Lumber DDD, herniated L-5/S-1 and horrid muscle spasms....but mine doesn't even come close to what you've been through. I hope your upcoming visit with ortho will be beneficial to you and that you are able to gain better pain relief. Hopefully others will be along to give you more helpful input. Caring, Rae :grouphug: |
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trueblue,
I just wanted to mention that there is a good thread that could be helpful to you in the Sticky posts at the top of the forum called Medical Dictionary & MRI/CT Terminology I have my share of spinal problems too but wouldn't like to attempt reading your MRI. take care and I hope you are feeling a lot brighter soon. |
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