I have my MRI report for cervical and thoracic and it looks like a whole lot of bulges. I was wondering if this many is typical for normal wear and tear or what? I know it is long sorry. I am in a great deal of pain.
MRI Reports: Cervical
1. There is straightening of the normal Cervical lordosis.
2. C2-3, a mild broad - based disc bulge is appreciated causing minimal effacement of the anterior CSF space.
3. C3-4 disc space level, a broad based disc bulge is appreciated causing near complete effacement of the anterior CSF space and moderate - to - mildly severe thecal sac stenosis.
The broad-based disc bulge demonstrates lateralization to the RIGHT and LEFT with narrowing and what appears to be encroachment upon the exiting nerve root sheath with possible exiting nerve root compromise as well as possible compression particularly on the RIGHT.
4. C4-5 level, similar finding are appreciated. A broad-based disc bulge is appreciated with lateralization, RIGHT greater than LEFT. There is associated moderate-to-mildly severe thecal sac stenosis as well as neural foraminal narrowing. Mass effect upon the exiting nerve root sheath on the RIGHT is identified as well as possible compromise and compression.
5. C5-6 level a broad-based disc bulge is appreciated with near complete effacement of the anterior CSF space and associated severe thecal sac stenosis. The broad-based disc bulge demonstrates laterallization with what appears to be mass effect upon the exiting nerve root sheath on the RIGHT and LEFT, LEFT greater than RIGHT. Exiting nerve root compromise is appreciated on the LEFT as well as possible compression. NOTE, there also appears to be hypertrophy of the posterior longitudinal ligament along the C5 vertebral body.
6. C6-7 a broad-based disc bulge is appreciated causing near complete effacement of the anterior CSF space and again severe thecal sac stenosis. The broad-based disc bulge demonstrates lateralization to the RIGHT and LEFT with what appears to be resulting mass effect upon the exiting nerve roots. Compromise of the nerve roots on the RIGHT and LEFT with possible compression on the LEFT appreciated.
IMPRESSION:
1. Multilevel degenerative change within the cervical spine as described above. This appears to be most severe at the C6-7 level. There is severe thecal sac stenosis as well as bilateral neural foraminal narrowing and mass effect upon the exiting nerve root sheathes bilaterally with compromise and what appears to be possible compression secondary to lateralization of the disc bulge on the LEFT.
2. At the C4-5 disc space level, moderate to mildly severe thecal sac stenosis is appreciated as well as exiting nerve root compromise and possible compression on the RIGHT secondary to a broad-based disc bulge.
3. At the C6-7 level, a broad-based disc bulge is appreciated with resulting severe thecal sac stenosis and lateralization which causes mass effect upon the exiting nerve root sheath, RIGHT greater than LEFT, as well as what appears to be exiting nerve root compromise and possible compression, particularly on the RIGHT.
Thoracic MRI Report
1. There are ventral impressions made upon the CSF-filled thecal sac at T3-4, T5-6, T6-7, T7-8, T9-10 and to a lesser extent, T10-11.
2. T3-4 there is a Left paracentral herniated nucleus pulposus producing mass effect upon the anterolateral border of the thecal sac and mild mass effect upon the LEFT neural foramen at this level.
3. T5-6 level there is a milder LEFT lateral disc bulge not producing significant mass effect upon the thecal sac but producing mild mass effect upon the LEFT neural foramen.
4. T6-7 there is extruded disc material secondary to herniated nucleus pulposus. This produces mass effect upon the anterior border of the CSF-filled thecal sac.
5. In the midline, the AP dimension of the CSF-filled thecal sac is reduced to approximately 10mm.
6. T7-8 there is annular disc bulging. The AP dimension of the thecal sac measures approximately 11 mm. There is mild encroachment upon the neural foramina, especially on the LEFT.
7. T9-10 there is annular disc bulging with an asymmetric LEFT-sided disc protrusion. The AP dimension of thecal sac measures in the midline 12mm, but this decreases rapidly as one moves toward the LEFT. There is neural foraminal encroachment bilaterally.
8. T11-12 mild annular bulging is seen.
IMPRESSION:
1. There is multilevel degenerative disc disease of the thoracic spine with herniated nucleus pulposus as described. These are producing moderate degrees of encroachment upon the neural foramina, especially on the LEFT, and mild degrees of AP dimensional spinal stenosis.