[fernwhisper]

Hiyas, I had a 2 level ACDF w/ corpectomy almost a year and 2 months ago. I ended up with a numb left arm and since then I am feeling numbness in my right arm now. My primary doc sent me back for another MRI w/ contrast and an EMG and I am waiting to go back to my Nuerologist. When I initially went to my Nuero I was blindsided and ill prepared. I want to be more informed this time wtih my results. I would appreciate any insight and opinions although I know diagnosis is a big no no on forums. Below is my MRI results.

MRI of the cervical spine without and with contrast
Clinical information: Upper neck pain. Prior surgical intervention on 3/2010. Comparison:MRI from 12/08/ 2009 which was prior to the surgical intervention. Technique:multiplana multisequence MRI of the cervical spine without and with contrat. Axial imaging is performed throughout the cervical spine. Findings:imaged posterior fossa is unremarkable. Craniocervical junction is intact. There is normal alignement without acute fracture or subluxation. INterval anterior cervical fusion from C4-C7. Localized susceptibility artifact degrades imaging. There is a question of partial fusion of the C2 and C3 vertebrae posteriorly. Heterogeneous marrow signal of the C4 vertebrae which demonstrates patchy areas of abnormal hypoattenuation on the T1- weighted imaging and mixed signal on T2 weighted imaging with patchy abnormal enhancement. Cervical and thoracic junctions are intact. Cervical cord is in anatomic location. On T2-weighted imaging at the level of the C6 vertebrae there is a persistent focal area of abnormal T2 signal intensity involving the cord substance. This measures approzimately 6-7mm. This was not clearly seen on T1 weighted imaging. There is abnormal enhancement at this level on postcontrast imaging. Multilevel ligamentum flavum hypertropy and facet anthropathy.
Degenerative disease is present as follows:
C3/4: Posterior disc osteophyte complex with a central disc protrusion. Effacement of ventral CSF
C4/5: Posterior disc osteophyte complex. Small uncovertebral osteophytes.
C5/6: Posterior disc osteophyte complex with a greater right-sided component. Moderate to marked right neural foraminal stenosis. Effacement of ventral CSF. No fefinitive cord impingement.
C6/7: Posterior disc osteophyte complex with a large broad-based disc bulge involving the right aspect. Impingement on the ventral cord is suspectected. Multiple moderate canal stenosis. Moderate to marked right -sided neural foraminal stenosis.
Impression : Interval surgical intervention in comparison with prior MRI. There has been stabilization anteriorly from C4- C7. There is abnormal marrow signal involving the C4 vertebrae which demonstrate abnormal enhancement. Etiology is uncertain. Neoplastic process cannot be excluded. Persistent abnormal signal intensity of the cord at the C6 vertebral body level which demonstrates abnormal enhancement. Etiology of this signal abnormality is uncertain. If the patient has a primary carcinoma secondary neoplastic process cannot be excluded. Since this was previously identified addition lessions such as ependymoma cannot be excluded. Multilevel cervical spondylosis without significant change more pronounced at the lower cervical spine as described above. Clinical correlation is essential

Please someone, give me some input and rest my mind lol!