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| Spinal Disorders & Back Pain For discussion of all spinal cord injuries, spinal issues, back-related pain or problems. |
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12-29-2011, 05:10 PM
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Hi,
I have neck pain and spasms, pain that radiates from neck down right arm pain, upper left back numbness, and a tremor in my left hand. The doctor ordered a cervical mri. After getting the results she referred me to a neurosurgeon. I am looking for opinions on MRI results below. Do you think surgury will be necessary? Thanks, Melissa T.  HISTORY: Neck pain for several weeks, shooting pains down right arm. PROCEDURE: Multiplanar, multisequence images of the cervical spine was done. FINDINGS: There is straightening of the normal cervical lordosis. Anterior spondylosis is seen at C4-C5, C5-C6. This is confirmed on the plain films of 11/23/2011 showing anterior spondylosis at C5-C6. Disk space height loss is seen at this level with degenerative disk. On transaxial images C2-C3, C3-C4 there is no neurocanal or neuroforaminal stenosis or focal disk protrusion. C4-C5: Diffuse circumferential bulge is seen that is asymmetric to the right with right paracentral disk protrusion. This abuts the cord, but does not flatten it. The neuroforamina is patent. C5-C6: Disk osteophyte is seen with asymmetry to the right that effaces and flattens the cord. This extends partially into both neuroforamina right greater than left. C6-C7: Small right paracentral disk protrusion is seen without an abutment of the cord. The neuroforamina is patent. C7-T1: There is no neurocanal or neuroforaminal stenosis or focal disk protrusion. IMPRESSION: 1.) Degenerative disk seen at C5-C6 with anterior spondylosis. Diffuse disk osteophyte is seen with asymmetry to the right with flattening of the cord. 2.) At C4-C5 there is a right paracentral disk protrusion seen that abuts the cord. 3.) Straightening of the normal cervical lordosis seen with small right paracentral disk protrusion at C6-C7. JOB: 166802[/I] |
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MRI Results/Neurosurgeon Referral
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