[demodebi]

any help would really be appreciated....

Cervical spine mri with anesthesia support
MR SEQUENCES:
1. coronal T2
2. axial gradient T2
3. sagittal T1, T2, STIR

FINDINGS:
Osseous Structures: There is convex right lateral curvature of the cervial spine. There is sollid osseous interbody fusion of C4 and C5, and there is an anterior plate and screws and interbody graft at C6-7. Metallic artifact from fixation hardware partially obscures adjacent structures. The exam is felt to be diagnostic. There is multilevel facet arthrosis most pronounced on the right at C2-3 and C3-4, and associated with periarticular marrow edema at these facet joints compatible with active or inflammatory arthritis. There is ankylosis of the left C4-5 facet joint. There are multiflevel small endplate spurs. There is reversal of the usual cervical lordotic curvature. The alignment is otherwise unremarkable.

Spinal Cord and Canal: There is no Chiari malformation or intraspinal mass. The cervical cord is of normal signal intensity

Intervertebral Disc Levels: C2-3: There is a minimal annular disc buldge. Facet hypertrophy mildly narrows the right neuroforamen

C3-4 There is a minimal annular disc bulge. Facet hypertrophy mildlynarrows the right neuroforamen.

C4-5 There is no central canal orneuroforamina stenosis at this level of fusion.

C5-6: same as above

C6-7 Uncovertebral osteophytes result in mild to moderat narrowing of the neuroforamina greater on the right

C7-T1: There is an annular disc buldge and superimposed right foraminal protrusion abutting the cord without compression and resulting in moderate to severe narrowing of the right neuroforamen.

The visualized upper thorasis intervertebral levels are unremarkable.

IMPRESSION:

1. c4-c7 anterior cervical fusion surgery
2. c7-t1 annular disc buldge and superimposed right foraminal protrusion abutting the cord without compression and resulting in moderate to severe right neuroforamen stenosis.
3. Active or inflammatory arthritis of the cight c2-3 and c3-4 facet joints associated with periarticular marrow edema
4. Please refer above for detailed level by level description of findings.

RIGHT SHOULDER MRI with anesthesia support

MR SEQUENCES:
1. axial gradient proton density fat suppressed
2. sagittal t1-t2
3. coronal t1-t2, t2 fat suppressed

FINDINGS: Supraspinatus Outlet. There is a mild arthrosis of the acromioclavicular joint. the acromial undersurface is anteriorly hooked (type III) and there is a mild lateral acromial downsloping. there is trace fluid within the subacromial subdeltoid bursa.

Rotator cuff. there is a heterogeneous intermediate increased signal intensity, thickening and fraying of the supraspinatus tendon compatible with moderate tendinosis. the rotator cuff musculature is unremarkable

Glenhumeral joint: there is a small effusion. there is abnormal increased signal intensity and fraying of the superior glenoid labrum compatible with SLAP tear. the long head of the biceps tendon appears normal and is appropriately located within the bicipital groove.

Misc. There is no Hill-sachs lesion

IMPRESSION:
1. Moderate rotator cuff tendinosis
2. Superior glenoid labrum tear (SLAP)
3. Mild arthrosis of the acromioclavicular joing
4. small glenohumeral joint effusion

THANK YOU FOR ANY HELP IN UNDERSTANDING YOU CAN GIVE ME....