what does these results mean?
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.?
I'M 61, A 1OO % PERMANENT AND TOTAL VET THANKS
MR C Spine without and with contrast
CRANIOCWRVICAL JUNCTION C1-2. DEGENERQTIVE changes without stenosis.
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.
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.
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.