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Posted in: Back pain, Chronic pain, and Neck pain.

What do these results mean?

Started by 102012567772176... on 01/09/2016 12:33am

MRI CERVICAL SPINE WO CONTRAST 12/30/2015 5:38 PM

HISTORY: M54.2: Cervicalgia;
G89.29: Other chronic pain;
R20.2: Paresthesia of skin.

COMPARISON: 1/8/2013

TECHNIQUE: Sagittal T1, T2, STIR, and axial T2, MERGE sequences were acquired.

FINDINGS:

BONES/DISCS: There is mild reversal the normal cervical spine lordosis unchanged
from the prior study. Mild, chronic anterior wedging of the T1 vertebral body
unchanged. Moderate C6-7 and C7-T1 disc degeneration.

CERVICAL CORD AND CERVICOMEDULLARY JUNCTION: The cervicomedullary junction and
cord signal are normal.

PARASPINAL SOFT TISSUES: Normal.

CENTRAL CANAL AND FORAMINA, BY LEVEL:

C2-3: Mild facet degeneration. There is effacement of the dorsal thecal sac
with minimal mass effect on the cord without significant canal stenosis. The
foramina are patent.

C3-4: Facet degeneration and mild uncovertebral spurring mildly narrows both
neural foramina. Small central protrusion without canal stenosis or mass effect
on the cord.

C4-5: Facet degeneration mildly narrows the left neural foramen unchanged.
Small central protrusion effaces the ventral thecal sac without significant
canal stenosis or mass effect on the cord. The right neural foramen is patent.

C5-6: Broad-based asymmetric right annulus bulge superimposed on marginal
osteophyte, uncovertebral spurring and facet degeneration results in moderate
canal stenosis with mild mass effect on the cord and mild right foraminal
stenosis unchanged. The left neural foramen is patent.

C6-7: Mild posterior marginal osteophyte and uncovertebral spurring. No
significant canal or foraminal stenosis.

C7-T1: Annulus bulge superimposed on marginal osteophyte, bilateral asymmetric
right foraminal protrusions, uncovertebral spurring and mild facet degeneration
results in mild canal stenosis without mass effect on the cord, moderately
severe right and moderate left foraminal stenosis not significantly changed.

T1-2: Annulus bulge with extension into both neural foramina right greater than
left and facet degeneration results in moderate left and severe right foraminal
stenosis not significantly changed. There is mild canal stenosis without mass
effect on the cord.

OTHER: No additional findings.

IMPRESSION-

C7-T1: Mild canal, moderately severe right and moderate left foraminal stenosis.

T1-2: Mild canal, severe right and moderate left foraminal stenosis.

Dictated by: Ronald W Kizziar M.D. on 12/31/2015 12:25 PM
Electronically signed by: Ronald W Kizziar M.D. on 12/31/2015 12:44 PM

PSR_OR
That's just the first one then there is this
MRI LUMBAR SPINE WO CONTRAST 12/30/2015 5:38 PM

INDICATION: M54.5: Low back pain;
G89.29: Other chronic pain;
R20.2: Paresthesia of skin. Chronic low back pain radiating into the right hip
and leg to the foot.

COMPARISON: None.

TECHNIQUE: Sagittal T1, T2, STIR and axial T2 and sequences were acquired.

FINDINGS:

BONES/DISCS: The vertebral body heights are maintained and the sagittal
alignment is anatomic. Chronic lower thoracic endplate Schmorl's nodes. No
disc edema.

CORD/CONUS: The visualized distal cord signal is normal and the conus terminates
normally at the superior L2 level.

PARASPINAL SOFT TISSUES: Normal.

CENTRAL CANAL AND FORAMINA, BY LEVEL:

L1-2: Mild facet degeneration. No canal or foraminal stenosis.

L2-3: Mild facet degeneration. No canal or foraminal stenosis.

L3-4: Small annulus bulge with extension into the right neural foramen and facet
degeneration results in mild right foraminal stenosis. The central canal and
left neural foramen are patent.

L4-5: Annulus bulge with small superimposed right paracentral protrusion and
facet degeneration results in mild canal, mild/moderate right lateral recess,
mild left and mild/moderate proximal right foraminal stenosis. No mass effect
on the right L5 nerve root in the lateral recesses visible.

L5-S1: Small annulus bulge and mild facet degeneration. No significant canal or
foraminal stenosis.

OTHER: No additional findings.

IMPRESSION-

L4-5: Mild canal, mild to moderate right lateral recess, mild left and
mild-to-moderate proximal right foraminal stenosis.

L3-4: Mild right foraminal stenosis.

Dictated by: Ronald W Kizziar M.D. on 12/31/2015 2:09 PM
Electronically signed by: Ronald W Kizziar M.D. on 12/31/2015 2:14 PM

PSR_OR

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