[rdavis46]

Reason for Exam: Diagnosis:
stenosis, radiculopathy Cervicalgia
Spinal stenosis in cervical region
Brachlal neuritis or radiculitis NOS
MRI CERVICAL SPINE WO CONTRAST
CLINICAL INFORMATION: 52 years Male, presenting history of stenosis, left
cervical radiculopathy
COMPARISON: 8/29/2013
TECHNIQUE: Using a 1.5 Tesla imaging system, MRI of the cervical spine is
performed, utilizing axial and sagittal T1- and T2-weighted acquisitions
without gadolinium.
FINDINGS:
Images are degraded by patient motion.
There is straightening of cervical vertebrae from C3-C7. Redemonstrated is
anterior cervical discectomy and instrumented fusion at C3-C4 as well as
anterior cervical discectomy, with anterior instrumented and interbody
strut graft fusion at C5-C7. Marrow signal is otherwise within normal
limits. Remaining vertebral body heights are preserved. There is loss of
disc height at C4-05, consistent with degenerative disc disease. The
cervical spinal cord Is normal in signal intensity and caliber, and the
cervicomedullary junction Is normal.
Postsurgical Findings: As above
Axial images demonstrate:
C2-C3: Uncovertebral joint osteophytes and facet arthropathy results in
right greater than left neural foramina! stenosis but no severe central
canal compromise.
C3-C4: Diffuse disc osteophyte contributes to right neural foramina!
stenosis without severe central canal compromise. Left neural foramen is
patent,
C4-05: There is minimal disc osteophyte complex resulting in effacement
of ventral subarachnoid space and right greater than left neural foraminal
stenosis.
C5-C6: Minimal disc osteophyte complex contributes to neural foraminal
stenosis without central canal compromise.
C6-C7: Uncovertebral joint osteophytes contribute to bilateral neural
foraminal stenosis, without severe central canal compromise.
C7-T1; Negative for disc protrusion, central canal or neural foraminal
stenosis.
IMPRESSION:
Multilevel neural foraminal stenosis, as above, most pronounced at C6 -C7.
Mild degenerative spondylosis and spondyloarthropathy as described above,
without severe spinal canal compromise at any level
Redemonstrated postoperative findings.

[rdavis46]

This is my husband cervical mri and we are puzzled on what it means. he has 2 cervical fushion first one was a 2 level back in Aug 2001 and then last one was year ago Aug 2013 which was only a 1 level but the one in between was starting to go but surgeon said its to risky to do multiple levels. But now my husband has pain in his left elbow, so bad that he can barely put his socks on, he can't lift or straighten his arm most of the time without great pain. He also getting pain in his neck, hands and sometime his toe weird I thought but one doctor said it could be tennis elbow but his surgeon want to rule out his neck again since he has trouble for many years now. He also had 3 lumbar surgeries but never seem to help still in pain with his back. The last surgery he ended up back in the hospital with a blood clot in that left arm and was put on blood thinners for 6 months

Originally Posted by rdavis46

Reason for Exam: Diagnosis:
stenosis, radiculopathy Cervicalgia
Spinal stenosis in cervical region
Brachlal neuritis or radiculitis NOS
MRI CERVICAL SPINE WO CONTRAST
CLINICAL INFORMATION: 52 years Male, presenting history of stenosis, left
cervical radiculopathy
COMPARISON: 8/29/2013
TECHNIQUE: Using a 1.5 Tesla imaging system, MRI of the cervical spine is
performed, utilizing axial and sagittal T1- and T2-weighted acquisitions
without gadolinium.
FINDINGS:
Images are degraded by patient motion.
There is straightening of cervical vertebrae from C3-C7. Redemonstrated is
anterior cervical discectomy and instrumented fusion at C3-C4 as well as
anterior cervical discectomy, with anterior instrumented and interbody
strut graft fusion at C5-C7. Marrow signal is otherwise within normal
limits. Remaining vertebral body heights are preserved. There is loss of
disc height at C4-05, consistent with degenerative disc disease. The
cervical spinal cord Is normal in signal intensity and caliber, and the
cervicomedullary junction Is normal.
Postsurgical Findings: As above
Axial images demonstrate:
C2-C3: Uncovertebral joint osteophytes and facet arthropathy results in
right greater than left neural foramina! stenosis but no severe central
canal compromise.
C3-C4: Diffuse disc osteophyte contributes to right neural foramina!
stenosis without severe central canal compromise. Left neural foramen is
patent,
C4-05: There is minimal disc osteophyte complex resulting in effacement
of ventral subarachnoid space and right greater than left neural foraminal
stenosis.
C5-C6: Minimal disc osteophyte complex contributes to neural foraminal
stenosis without central canal compromise.
C6-C7: Uncovertebral joint osteophytes contribute to bilateral neural
foraminal stenosis, without severe central canal compromise.
C7-T1; Negative for disc protrusion, central canal or neural foraminal
stenosis.
IMPRESSION:
Multilevel neural foraminal stenosis, as above, most pronounced at C6 -C7.
Mild degenerative spondylosis and spondyloarthropathy as described above,
without severe spinal canal compromise at any level
Redemonstrated postoperative findings.