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Old 04-15-2012, 06:58 PM #1
edensvision edensvision is offline
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Default Can someone translate my cervical MRI

Been about a week since it was done but have not recieved a call from my doctor to come in for the report. So i picked it up myself and waiting to hear from them. I am 7 years post opt 2 surgeries/2 cervcal fusions c5/c6 & c6/c7.

There is evidence of fusion c5-c6. Good alignment. The hardware and vertibral bodies could not be optimally evaluated due to the magnectic susceptibility artifactacts.

There is loss of disc height & signal at level c3-c4, c4-c5, & c7-t1 representing degeneration/desiccation of the discs.

The bone marrow signal of the vertebral bodies & posterior elements appear normal with no evidence of focal enhancement.
c2-3 unremarkable
c3-4 Moderate sized disc osteophyte complexes seen without a significant compression on the thecal sac or the nerve roots. The facet joints appear normal. No evidence of sinal stenosis.
c4-5 There is prominant uncinate spur assymmetrically more towards the rights & moderate facetal arthropathy. There is narrowing of the right neural foramen c4-5 which was also notes in the previous study 1/2011. The left nerual fomrmina appear normal, no evidence of spinal stenosis.
c5-6 There is diffuse enlargement of the right nerve roo c6 whch shows contrast enhancement & a small surrounding fluid in the right neural foramen. This may represent neuropathy /neuritis. This was not notes in the previous study. There is a 5.5 x3.7 MM extradural meningeal cyst in the latter part of the left neural foramen c5-c6 displacing the left nerve root c6 anteriorly. This is unchanged since the previous study. No evidence of spinal stenosis at this level.
c6-7 No evidence of neural foraminal or spinal canal stenosis. the facet joints appear unremarkable.
c7-t1 Unremarkable

The size & signal of the cervical spinal cord appear normal. There are some serpiginous areas of signal void seen in the cervical spinal cord which i believe represent imaging artifacts. Remote possibility of these representing tortuous spinal dural veins? May not be excluded. Images obtained after contrast enhancement do not show any areas of focal abnormal enhancement in the cervical spinal cord, vertebral bodies or the poseriror elements.

Impression:
1) Moderate severe right neural foraminal stenosis c4-5 which was also noted in the previous study 1/2011 & is unchanged in the interval
2) Moderate thickening of the right nerve root c6 with a surrounding fluid may represent neurapathy./. This waas not visualized in the previous study.
3) A small extradural meningeal cyst posterior to the left nerve root c6 with displacing the nerve root anteriorly.
4) Anterior spinal fusion c5-c7. Good alignment of the vertebral bodies.
5) Degeneration/desiccation of the intervertebral discs level c3-4, c4-5,c7-t1
6) other findings as above.

Can any translate or decifer any of this for me please????
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Old 04-15-2012, 11:27 PM #2
Dubious Dubious is offline
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Quote:
Originally Posted by edensvision View Post
Been about a week since it was done but have not recieved a call from my doctor to come in for the report. So i picked it up myself and waiting to hear from them. I am 7 years post opt 2 surgeries/2 cervcal fusions c5/c6 & c6/c7.

There is evidence of fusion c5-c6. Good alignment. The hardware and vertibral bodies could not be optimally evaluated due to the magnectic susceptibility artifactacts.

There is loss of disc height & signal at level c3-c4, c4-c5, & c7-t1 representing degeneration/desiccation of the discs.

The bone marrow signal of the vertebral bodies & posterior elements appear normal with no evidence of focal enhancement.
c2-3 unremarkable
c3-4 Moderate sized disc osteophyte complexes seen without a significant compression on the thecal sac or the nerve roots. The facet joints appear normal. No evidence of sinal stenosis.
c4-5 There is prominant uncinate spur assymmetrically more towards the rights & moderate facetal arthropathy. There is narrowing of the right neural foramen c4-5 which was also notes in the previous study 1/2011. The left nerual fomrmina appear normal, no evidence of spinal stenosis.
c5-6 There is diffuse enlargement of the right nerve roo c6 whch shows contrast enhancement & a small surrounding fluid in the right neural foramen. This may represent neuropathy /neuritis. This was not notes in the previous study. There is a 5.5 x3.7 MM extradural meningeal cyst in the latter part of the left neural foramen c5-c6 displacing the left nerve root c6 anteriorly. This is unchanged since the previous study. No evidence of spinal stenosis at this level.
c6-7 No evidence of neural foraminal or spinal canal stenosis. the facet joints appear unremarkable.
c7-t1 Unremarkable

The size & signal of the cervical spinal cord appear normal. There are some serpiginous areas of signal void seen in the cervical spinal cord which i believe represent imaging artifacts. Remote possibility of these representing tortuous spinal dural veins? May not be excluded. Images obtained after contrast enhancement do not show any areas of focal abnormal enhancement in the cervical spinal cord, vertebral bodies or the poseriror elements.

Impression:
1) Moderate severe right neural foraminal stenosis c4-5 which was also noted in the previous study 1/2011 & is unchanged in the interval
2) Moderate thickening of the right nerve root c6 with a surrounding fluid may represent neurapathy./. This waas not visualized in the previous study.
3) A small extradural meningeal cyst posterior to the left nerve root c6 with displacing the nerve root anteriorly.
4) Anterior spinal fusion c5-c7. Good alignment of the vertebral bodies.
5) Degeneration/desiccation of the intervertebral discs level c3-4, c4-5,c7-t1
6) other findings as above.

Can any translate or decifer any of this for me please????
Yes....you need help....go see a spine specialist!
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Old 04-16-2012, 12:18 AM #3
edensvision edensvision is offline
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Yes....you need help....go see a spine specialist!
I thank you. I understand no one is a Doctor here. I was just wondering if anyone knew about what any of this meant as a whole picture or in pieces.

I have been through this for 7 years now. The last neurosurgeon I saw based on last years MRI said oretty much that there wasn't anything they could do for me. Am I worse now? I feel worse, having a lot of arm weakness and hurting more. Just not sure on the medical jargon as to why....
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Old 04-16-2012, 01:51 AM #4
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Here you go edensvision. I've tried to simplify the findings and added some great references that explain things better than I can. I hope it helps.

Impression:
1) Moderate severe right neural foraminal stenosis c4-5 which was also noted in the previous study 1/2011 & is unchanged in the interval


There is a narrowing in the spine, (can be the result of a bulging disc, torn disc, osteophyte, or many other conditions) in the neck at level C4-5 (around the middle of your neck), but it was there on your last check and hasn't changed since then.

2) Moderate thickening of the right nerve root c6 with a surrounding fluid may represent neuropathy. This waas not visualized in the previous study.

The nerve roots arise from the spinal cord and pass out between the discs of your spinal column. Your's has thickened at C6, which is a new finding. They say it might be caused by neuropathy, which is a collection of disorders that occurs when nerves of the peripheral nervous system (the part of the nervous system outside of the brain and spinal cord) are damaged.

3) A small extradural meningeal cyst posterior to the left nerve root c6 with displacing the nerve root anteriorly.

extradural means outside of the spinal canal

meningeal refers to the membrane around the spinal canal

There is a small cyst almost at the bottom of your neck (C6) sitting on the spinal canal's external membrane, close to where the nerve exits between the dics. It's not pressing on the nerve from the front view.

4) Anterior spinal fusion c5-c7. Good alignment of the vertebral bodies.

Your spinal fusion is evident and looks good.

5) Degeneration/desiccation of the intervertebral discs level c3-4, c4-5,c7-t1

There's disc wear visible in most of your neck. Degeneration is usually caused by arthritis

6) other findings as above.

References:
http://www.orthogate.org/patient-edu...e-anatomy.html
http://www.netdoctor.co.uk/ate/muscl...ts/203244.html
http://www.medicalnewstoday.com/articles/147963.php
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Old 04-16-2012, 02:08 AM #5
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I THANK YOU YOU SOOOOOO MUCH!!!!! FOR YOUR TIME, YOUR KNOWLEDGE AND YOUR COMPASSION.

I had a recent emg that stated I had a new problem at c5c6, and this explains it, bt you have helped me understand the jargon.

I live on my meds, i can't do too much without hurting my shoulder and arm, so I have to limit myself or it hurts worse than the daily pain.

It's nice to at least get a peak into what the report means. Thank you so much I will go to your links and check things out more. I appreciate it very much!!!!
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Old 04-16-2012, 08:11 PM #6
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the only link that i could get to work was the last one unfortunately....If you or anyoe else can send me new one's or more input that would be wonderful
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