[massimo]

HI EVERYONE,
For the last two years my G.P diagnosed me with Fibromyalgia and Chronic Pain. After an exhausting and and extremely painful two years and multiple diagnostic studies this is what my spine looks like. I am more confused than ever...Where do I go from here?

CERVICAL SPINE MRI

MULTI DEHYDRATION AND DESICCATION IS SEEN. EVALUATION OF INDIVIDUAL LEVELS PRESENTS THE FOLLOWING.


C2-3, MINIMAL BULGING INDENTS THE VENTRAL THECAL SAC. CANAL AND FORAMIN ARE PATENT.


C3-4, CENTRAL SHALLOW HERNIATED DISC MEASURES 5MM IN TRANSVERSE AND 2MM IN AP DIMENSION, INDENTS THE VENTRAL THECAL SAC. THERE IS SUPERIMPOSED BULGE. CANAL AND FORAMIN REMAIN PATENT. BILATERAL UNCOVERTEBRAL JOINT HYPERTROPHY IS NOTED.


C4-5, CENTRAL HERNIATED DISC IS NOTED, MEASURES 7MM IN TRANVERSE AND 2.5 MM IN AP DIMENSIONS, INDENTS THE VENTRAL THECAL SAC. THERE IS SUPERIMPOSED BULGE. CANAL AND FORAMIN REMAIN PATENT. BILATERAL UNCOVERTEBRAL JOINT HYPERTROPHY IS NOTED.


C5-6, LARGE HERNIATED DISC IS NOTED, MEASURES 12MM IN TRANSVERSE AND 3MM IN AP DIMENSION, IN CONTACT WITH THE CORD. CANAL IS BORDERLINE STENOTIC. THERE IS SOME LATERALIZATION TOWARDS THE LEFT. THERE IS MILD LEFT FORAMINAL NARROWING. BILATERAL UNCOVERTEBRAL JOINT HYPERTROPHY IS PRESENT.


C6-7, DISC BULGE IS SEEN, INDENTS THE VENTRAL THECAL SAC. CANAL AND FORAMIN ARE PATENT.

　

THORACIC SPINE MRI


NOTE IS MADE OF MILD CHRONIC COMPRESSION FRACTURE DEFORMITIES INVOLVING T7 AND T8 VERTEBRAL BODIES. NO ACUTE FRACTURE IS NOTED. THE MARROW SIGNALS ARE WITHIN NORMAL LIMITS. THE VISUALIZED POSTERIOR ELEMENTS ARE NORMAL AND THE THORACIC CURVATURE IS WELL MAINTAINED. THE THORACIC CORD IS UNIFORM SIGNAL INTENSITY WITHOUT EVIDENCE OF FOCAL EXPANSION. MULTI-LEVEL DEHYDRATION AND DESICCATION IS SEEN. NOTE IS MADE OF SCHMORL’S NODES AT MULTIPLE THORACIC LEVELS INCLUDING T6-T7, T7-T8, T9-T10, T10-T11, AND T11-T12 REPRESENTING ENDPLATE MICROFRACTURES.


EVALUATION OF INDIVIDUAL DISC SPACE LEVELS REVEALS THE FOLLOWING

　

AT T5-T6, MINIMAL DISC BULGE INDENTS THE VENTRAL THECAL SAC. CANAL AND FORAMINA ARE PATENT.


AT T6-T7, MINIMAL DISC BULGE INDENTS THE VENTRAL THECAL SAC. CANAL AND FORAMINA ARE OPEN.


AT T7-T8, CENTRAL HERNIATED DISC IS NOTED, MEASURES 6MM IN TRANSVERSE AND 2.5MM IN AP DIMENSION PRODUCING MASS EFFECT ON THE SPINAL CORD AND DEMONSTRATES SPINAL CORD FLATTENING AND BORDERLINE CANAL STENOSIS. FORAMINA ARE PATENT.


AT T8-T9, MINIMAL DISC BULGE INDENTS THE VENTRAL THECAL SAC. CANAL AND FORAMINA ARE PATENT.


AT T9-T10, MINIMAL DISC BULGE INDENTS THE VENTRAL THECAL SAC. CANAL AND FORAMINA ARE PATENT.


AT T11-T12, SHALLOW HERNIATED DISC IS SEEN, INDENTS THE VENTRAL THECAL SAC. CANAL AND FORAMINA ARE PATENT.

　

LUMBAR SPINE MRI

　
MULTILEVEL DEHYDRATION AND DESICCATION IS SEEN. SHALLOW SCHMORL’S NODES ARE NOTED AT L2-L3 THROUGH L5-S1. NOTE IS MADE OF PARTIAL SACRALIZATION INVOLVING TRANSVERSE PROCESS OF L5 BODIES. MILD LOSS OF DISC HEIGHT AND ENDPLATE SCLEROSIS IS NOTED AT L5-S1.

　

EVALUATION OF INDIVIDUAL LEVEL PRESENTS THE FOLLOWING.

　

AT L2-L3 ANNULAR DISC BULGE IS SEEN. THERE IS SUPERIMPOSED FAR RIGHT PARACENTRAL HERNIATED DISC WITH ASSOCIATED ANNULAR TEAR. THERE IS MILD TO MODERATE RIGHT AND MINIMAL LEFT FORAMINAL NARROWING. CANAL IS PATENT.


AT L3-L4, BILOBED ANNULAR DISC BULGE IS SEEN WITH BILATERAL INTRAFORAMINAL EXTENSION.THERE ARE SHALLOW LEFT AND RIGHT PARACENTRAL DISC HERNIATION IS PRESENT. THERE IS MILD TO MODERATE BILATERAL FORAMINAL STENOSIS. CANAL IS PATENT.


AT L4-L5, ANNULAR TEAR IS VISABLE. CENTRAL HERNIATED DISC MEASURES 10MM IN TRANSVERSE AND 2.5 MM IN AP DIMENSION INDENTS THE VENTRAL THECAL SAC. THERE IS A SUPERIMPOSED BULGE WITH BILATERAL FORAMINAL NARROWING. CANAL REMAINS PATENT. HYPERTROPHIC FACET DISEASE AND LIGAMENTUM FLAVUM HYPERTROPHY CONTRIBUTES.


AT L5-S1, DIFFUSE DISC BULGE IS NOTED. THERE IS A SUPERIMPOSED LEFT PARACENTRAL DISC HERNIATION IS NOTED. THERE IS MILD TO MODERATE LEFT AND MILD RIGHT FORAMINAL STENOSIS. CANAL IS PATENT. HYPERTROPHIC FACET DISEASE CONTRIBUTES. HYPERTROPHIC FACET DISEASE AND LIGAMENTUM FLAVUM HYPERTROPHY CONTRIBUTES.