Please, in need of help deciphering this report
I have looked up much of this report, but I still don’t speak the lingo, jargon, med speak.
All I get out of it is a lot of degenerative this and degenerative that.
I had surgery 7 years ago and thi s reads like I need surgery again, and then what? more surgery?
Can someone please explain this report so I can understand it.
I have lots of pain in neck, burning feeling back of left arm & hand, left arm numb and aches, including shoulder, both hands numb, but ache at night, hands have a lot of arhtirus anyways, part of feet and middle toes to little toes numb on both feet. Recently right arm & shoulder ache and pain between shoulder blades. Back of right arm feels cool. I feel clumsy, loss of dexterity & strength, and have fell down a few times. I am a 53 year old man.
Thanks in advance.
FLUORO GUIDED LUMBAR PUNCTURE AND CT CERVICAL MYELOGRAM 15TH FEBRUARY 2010.
Indication: Neck pain with upper extremity radicular symptoms.
Comparison: CT cervical spine without contrast March 2003.
CT cervical spine technique: 2 mm contiguous axial CT images were obtained of the cervical spine using 10 mL of Isovue-M 300. Sagittal and coronal reformats were performed.
Findings: There are postoperative changes of anterior plate and screw fixation with corpectomy and interbody bone graft at C4-C5 and C5-C6, which are new since 6 March 2003. Hardware is intact in standard position. There is good incorporation of the bone graft. On the sagittal images, the AP diameter the spinal cord is flattened by disc
osteophyte complex at C3-C4. The ventral cord is minimally indented at C4-C5 due to residual endplate osteophytes. Remaining cervical spinal cord is normal in size and signal without intradural extra medullary lesion. There is no cerebellar tonsillar ectopia.
There is redemonstrated diffuse degenerative disc disease and degenerative facet joint arthritis without listhesis. The extant cervical vertebral bodies are preserved in normal height and alignment. The remaining intervertebral discs are normal in height.
There are atlantoaxial degenerative changes.
At C2-C3, there is no focal disc herniation, neuroforaminal narrowing or spinal canal compromise.
At C3-C4, there is disc osteophyte complex, with prominent broad-based central disc component, uncovertebral spurs and degenerative facet joint arthritis, which result in severe acquired spinal canal compromise and moderate bilateral neuroforaminal narrowing. The AP diameter the spinal canal is narrowed to 3 millimeters at this level with flattening of the AP diameter the spinal cord.
At C4-C5, there are residual endplate osteophytes with uncovertebral spurs and degenerative facet joint osteoarthritis which result in acquired spinal canal compromise severe right and moderate left neuroforaminal narrowing. The AP diameter the spinal canal is narrowed to 6 mm with minimal ventral cord margin deformation.
At C5-C6, there are residual endplate osteophytes with uncovertebral spurs and degenerative facet joint osteoarthritis, which result in severe right and moderate left neuroforaminal without acquired spinal canal compromise. The AP diameter the spinal canal measures 9 mm at this level.
At C6-C7, there is disc osteophyte complex with uncovertebral spurs and degenerative facet joint osteoarthritis, which result in moderate to moderate to severe bilateral neuroforaminal narrowing without acquired spinal canal compromise. The AP diameter the spinal canal measures 9 mm at this level.
At C7-T1, there is no focal disc herniation, neuroforaminal narrowing, or spinal canal compromise.
There is minor mucosal thickening in the maxillary sinuses with mucous retention cysts. The mastoid air cells are under pneumatized and sclerotic with partial fluid/soft tissue density opacification. There are mild atherosclerotic desiccation is in the carotid bulbs.
Remaining included cervical soft tissues are unremarkable as seen on this non-IV contrast examination.
1. Anterior fusion, corpectomy, and bone graft placement at C4-C5 and C5-C6, new since 6 March 2003, with intact hardware in standard position. There is good bone graft incorporation.
2. Diffuse degenerative disc disease with severe disc osteophyte complexes at C3-C4 and C6-C7 and residual endplate osteophytes at C4-C5 and C5-C6, which result in spinal canal compromise at C3-C4 and C4-C5 with cord impingement, most severe at C3-C4.
3. Multilevel degenerative facet joint arthritis without listhesis.
4. Varying degrees of moderate to severe neuroforaminal narrowing from C3-C4 through C6-C7, and with moderate to severe bilateral at C6-C7, severe right and moderate left at C4-C5 and C5-C6, and moderate bilateral at C3-C4.