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what does these results mean?

Started by Coolbreeze on 07/24/2016 1:03am

I just received my copy of my MRI. I have severe pain in neck shoulders, both arms, down to lower back. I had a fusion a few years ago in my cervocal spine.
I take morphine every 4 hours and already had 4 injections that didn't work.
If so, what kind of surgery.?

MR C Spine without and with contrast

C3-4 Posterior disc/-osteophyte abutting the ventral surface of the cord with mild canal stenosis. There is uncontested and facet artropathy with mild bilateral foraminal narrowing.
C4-c5 Mild posterior disc /osteophyte without central canal stenosis. Mild facet artropathy and uncinate spurring without foraminal compromise.
Impression -Degenerative changes at C3-4 with mild canal stenosis. No cord compression.

MR T Spine with and without contrast
VERTEBRAE : SMALL anterior and lateral osteophyte at multiple thoracic levels. Small incidental hermangioma in the T4 vertebral body.
Spinal cord- Enlargement of the dorsal subarachnoid space at T7, with anterior deviation of the spinal cord with the cord abutting the left ventral aspect of the aspect of the the cal sac.
Thoracic disc levels : Mild posterior osteophyte riding at several Thoracic levels.
Other: Small fluid intensity lesions in the superior kidneys bilaterally, likely representing incidental renal cysts.

Impression :

1, Enlargement of the dorsal subarachnoid space and ventral deviation of the spinal cord at,T7, with the cord abutting the left ventral aspect of the thecal sac.
The appearance is suggestive of idiopathic spinal cord herniation, though a dorsal arachnid cyst could produce a similar appearance. CT myelography of the Thoracic spine may be helpful for clarification.
2. Mild mid Thoracic dextroscoliosis and mild Thoracic degenerative changes without disc protrusion or cord compression.
An online article entitled imaging of idiopathic spinal cord herniation can be found at https:// pubs.rsna.org/doi/pdf/10.1148/_-ry.282075030.

MR L-spine without and with contrast

L4-L5. There is increased prominence of a right sided disc bulge/protrusion involving lateral recess and foramen . This may contact the L5 nerve in the right lateral recess. CORRELATE clinically for radiculopathy . This narrows the right foramen to a moderate degree. This can be correlated clinically for right L4 radiculopathy. Slight prominence of dorsal epidural fat. There is mild narrowing of central canal. The left foramen is patent. There is facet hypertrophic

L5-S1 There is mild disc bulging with decreased prominence of a tiny paracentral protrusion. There is facet hypertrophy. There is mild narrowing of both foramina.

Impression :

1. At L4 -L5, MILD increased prominence of a shallow disc bulge/protrusion involving right lateral recess and foramen. Correlate clinically for radiculopathy. There is mild central canal , right lateral recess, and moderate foraminal stenosis.
2. At L5-S1, mild disc bulging with decreased prominence of a tiny paracentral protrusion.

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2 Responses


hi coolbreeze It sounds to me like you have a number of cuhions ruptured sounds like you need to find a good surgeon and get a opinion or talk to one and get a profesional oppinion wishing you good luck.


Your neck has arthritis, two bulging (not herniated) discs and bone spurs with narrowing of spinal canal and neural foraminal narrowing (that is the holes that the nerves come out of), which could be causing the problems with your arms. Nothing pinched or herniated. Im surprised there is no mention of surgical changes on this MRI. You MIGHT need discectomy at C3-4 with foraminotomy, but by the report it doesn't seem dramatic.

Thoracic spine: Arthritis and scoliosis but I can't tell you whats going on with the enlargement at T7. Probably cysts in your kidneys, which is usually nothing to worry about.

Lumbar spine: Two mild bulging vs herniated discs with involvement of right L5 nerve root, so you are probably having trouble with your right leg.

Thank you for your service. I'm a vet too. I should be disabled at least per VA guidelines but I have no choice except to work.