Reverse Lordosis, Facet Hypertrophy, & narrowing of foramen
Hello all. I was involved in an auto accident in October and have had a great deal of neck pain. Finally got an MRI done and, while I understand what the problems are, I do not understand if this is a mild case or if this is anything serious. I understand you can't speak for doctor, but if you have had a similar report or have seen a similar report I'd love to hear your thoughts. I don't know if 25% and 50% foraminal narrowing is considered mild? And it says I have facet hypertrophy. Does this mean arthritis? Here's the story. In October I was driving about 35 mph...had the right of way. A huge truck ran a stop sign while speeding and caused me to t-bone their big truck. My car was totaled (damages estimated at 7500 dollars, which is a little more than cars value). I was wearing a seat belt and I did see accident coming, but couldn't avoid it. When shock wore off I felt neck and shoulder pain. Both shoulders. As time went on (that week) my symptoms got pretty severe. I've had debilitating headaches from neck up to back of head, shoulder pain in both shoulders, numbness in right arm on occasion, numbness often in right shoulder, earache in right ear off and on (can't even touch ear), terrible tmj pain on left side at jaw hinge, and I've been noticing terrible dizzy spells, but unsure if this is related. Forgot to ask doc. Thanks in advance for any replies:)
Findings: there is straightening to reversal of the cervical lordosis. This is consistent with musculoskeletal strain centered at approximately C 3-4. The vertebral marrow signal is preserved. There is no Marrow infiltration, no expansile, lytic, or destructive abnormality, no compression fracture seen.
Discs: the intervertebral disc space height and signal is preserved, C 2-3 through T 5-6. There is narrowing of the disc space height at T 6-7, T 7-8.
Ligaments and tissues: (says everything is unremarkable)
C 1 and craniocervical junction: no cerebellar tonsillar ectopia, no Chiari malformation.
C 2-3: no herniation, no stenosis, no alteration of caliber of central canal or foramina.
C 3-4: 25% left foraminal narrowing from facet hypertrophy. 25% right foraminal narrowing as well. No central canal stenosis.
C 4-5: 25% right foraminal narrowing. 50% left foraminal narrowing. No central canal stenosis.
C 5-6: 25% right foraminal narrowing. No central canal stenosis, no left foraminal narrowing.
C 6-7: no disc herniation, no stenosis, no alteration in the caliber of central canal or foramina.
C 7 - T 1: no disc herniation, no stenosis, no alteration in the caliber of the central canal or foraminal.
T 1-2 - T 6-7: unremarkable on sagittal views. Less than 10% narrowing of the ventral height of T 7. The is no marrow changes.
Cord and canal: no lesion of spinal cord or spinal canal is noted.
Conclusion: 1) straightening to reversal of the cervical lordosis is seen. This is consistent with musculoskeletal strain. 2) there is foraminal narrowing seen on the upper cervical spine. There is no nerve root displacement; however, if patient has isolated radiculopathy in the proper distribution this may be important. No disc herniation, no stenosis, no cord compromise.