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MRI results please help!
Hello, I just got my results back from my full spine MRI. I was wondering if you guys can help me understand my results. Here they are:
MRI CERVICAL SPINE W/WO CONTRAST
Findings:
Satittal images visualize from the posterior fossa level, through the lower T3 veribral body level. Cervical vertebral height is preserved. No significant focal bone marrow abnormality. There is mild narrowing of cervical disc space height in C4-C5,C5-C6, and C6-C7 levels.
No significant focal cervical disk protrusions is seen at any level. Minimal broad-based bulging disc annulus is seen at C2-C3,C3-C4-C5-C6, and C6-C7 levels. There may be minimal posterolateral ostephytes at C5-C6 and C6-C7 levels. No significant central cervical spinal canal stenosis. The neural foramen appears widely patent on axial imaging.
The contour and signal characteristics of the spine cord is normal. No evidence of abnormal cord enhancement. The brainstem and visible portions of the cerebellum are unremarkable.
There is no abnormal enhancement seen within the cervical vertebral bodies, disk spaces, or paraspinal regions.
Impressions: 1. Mild disc space narrowing at C4-C5, C5-C6, C6-C7 levels. No significant focal disc protrusion. No significant central spinal canal foraminal stenosis.
MRI LUMBAR SPINE W/WO CONTRAST
Findings:
Sagittal images visualize from the T11-T12 disc space, through the lower sacrum. A rudimentary disc space is seen at S1-S2 level. Lumbar vertebral height is preserved. No significant compression fracture or focal bone marrow abnormality. There is mild loss of disk hydration signal at L4-L5 and L5-S1 levels. The conus of the spinal cord appears to terminate at the L1-L2 disc space level.
There is no abnormal enhancement or contour abnormality of the conus of the spinal cord. No abnormal enhancement is seen within the lumbar vertebra, disc spaces, or the paraspinal region. The following levels were evaluated in the sagittal and axial plane:
L3-L4 No significant abnormality.
L4-L5: Mild circumferential bulging disc annulus is seen at this level. No focal disc protrusion. No significant central or lateral spinal canal stenosis. No significant facet arthrosis.
L5-S1: No focal disc protrusion. No significant central or lateral spinal canal stenosis. No significant facet disease.
Impressions:
1. Mild degenerative disc disease L4-L5 and L5-S1 levels. No evidence of focal protrusion or significant central or lateral spinal canal stenosis.
MRI THORACIC SPINE W/WO CONTRAST
Findings:
Saittal images visualize from the C6 vertebral body level, through the T12-L1 disk space level. Thoracic vertebral height is preserved. No compression fracture or significant focal bone marrow abnormality. Disc spaces are well preserved. No focal thoracic disc protrusion is seen. Thoracic neural formal appears widely patent bilaterally. A minimal diffusely bulging disc annulus is noted in T11-T12 level.
The contour and signal characteristics of the spinal cord appear normal. No focal spinal cord lesion. No abnormal enhancement of the spinal cord is seen after gadolinium administration. There is no abnormal enhancement within the throacic vertebral bodies, disc spaces or paraspinal regions.
Impressions:
1. No significant abnormality of the thoracic spine.
Sorry for all of this information. Can someone tell me what any of this means. I also wonder how I could have an MRI two weeks ago show 5mm low lying tonsills and this MRI says that there is nothing at all. Does that mean my tonsills went back up. Maybe I don't have to worry about Chairi at all. What do you guys think? Is there anything in this MRI that points to Chiari? Should I worry about anything mentioned here? I don't understand what any of this stuff means. Right now, I'm very confused and I have no idea what is going on with me.
MRI CERVICAL SPINE W/WO CONTRAST
Findings:
Satittal images visualize from the posterior fossa level, through the lower T3 veribral body level. Cervical vertebral height is preserved. No significant focal bone marrow abnormality. There is mild narrowing of cervical disc space height in C4-C5,C5-C6, and C6-C7 levels.
No significant focal cervical disk protrusions is seen at any level. Minimal broad-based bulging disc annulus is seen at C2-C3,C3-C4-C5-C6, and C6-C7 levels. There may be minimal posterolateral ostephytes at C5-C6 and C6-C7 levels. No significant central cervical spinal canal stenosis. The neural foramen appears widely patent on axial imaging.
The contour and signal characteristics of the spine cord is normal. No evidence of abnormal cord enhancement. The brainstem and visible portions of the cerebellum are unremarkable.
There is no abnormal enhancement seen within the cervical vertebral bodies, disk spaces, or paraspinal regions.
Impressions: 1. Mild disc space narrowing at C4-C5, C5-C6, C6-C7 levels. No significant focal disc protrusion. No significant central spinal canal foraminal stenosis.
MRI LUMBAR SPINE W/WO CONTRAST
Findings:
Sagittal images visualize from the T11-T12 disc space, through the lower sacrum. A rudimentary disc space is seen at S1-S2 level. Lumbar vertebral height is preserved. No significant compression fracture or focal bone marrow abnormality. There is mild loss of disk hydration signal at L4-L5 and L5-S1 levels. The conus of the spinal cord appears to terminate at the L1-L2 disc space level.
There is no abnormal enhancement or contour abnormality of the conus of the spinal cord. No abnormal enhancement is seen within the lumbar vertebra, disc spaces, or the paraspinal region. The following levels were evaluated in the sagittal and axial plane:
L3-L4 No significant abnormality.
L4-L5: Mild circumferential bulging disc annulus is seen at this level. No focal disc protrusion. No significant central or lateral spinal canal stenosis. No significant facet arthrosis.
L5-S1: No focal disc protrusion. No significant central or lateral spinal canal stenosis. No significant facet disease.
Impressions:
1. Mild degenerative disc disease L4-L5 and L5-S1 levels. No evidence of focal protrusion or significant central or lateral spinal canal stenosis.
MRI THORACIC SPINE W/WO CONTRAST
Findings:
Saittal images visualize from the C6 vertebral body level, through the T12-L1 disk space level. Thoracic vertebral height is preserved. No compression fracture or significant focal bone marrow abnormality. Disc spaces are well preserved. No focal thoracic disc protrusion is seen. Thoracic neural formal appears widely patent bilaterally. A minimal diffusely bulging disc annulus is noted in T11-T12 level.
The contour and signal characteristics of the spinal cord appear normal. No focal spinal cord lesion. No abnormal enhancement of the spinal cord is seen after gadolinium administration. There is no abnormal enhancement within the throacic vertebral bodies, disc spaces or paraspinal regions.
Impressions:
1. No significant abnormality of the thoracic spine.
Sorry for all of this information. Can someone tell me what any of this means. I also wonder how I could have an MRI two weeks ago show 5mm low lying tonsills and this MRI says that there is nothing at all. Does that mean my tonsills went back up. Maybe I don't have to worry about Chairi at all. What do you guys think? Is there anything in this MRI that points to Chiari? Should I worry about anything mentioned here? I don't understand what any of this stuff means. Right now, I'm very confused and I have no idea what is going on with me.
Just because the Chiari is not mentioned in the report doesn't mean that it isn't present he just wasn't told to report on it. It appears all they were looking for was tethering or syringomyelia. Go to where you had the MRI done and ask for a copy of the MRI on disc to take with you to your appointment so the doctor will be able to see the pictures and not just the report. The reason I say this is because then he will be able to see the Chiari herniation along with the MRI pictures that go with the report and believe me when I tell you it makes a big difference because they can see all of them on the same one! It's there he just didn't write it in the report because that's not what he was told to report on! Hope this helps!
Selma, no this is not the same place that did the head MRI that I had a few weeks ago. I told the radiologist about the Chiari when we talked before the exam. I was hoping that he would mention it also to kind of lend support to the first MRI. I'm starting to think that I probably don't even have it if they did not mention it here. I get so frustrated from radiologists.
I was told that I had DDD back about 7 years ago when I was only 22 . I had my doc look at those x rays again a few years ago and he said I did not have it. Now I have this MRI and it says I have DDD and says nothing about Chiari. I don't know what to think. I'm so tired of not getting any real answers. I don't have anything to go on with this report. I don't know what to do from here. I'm not even sure if I have Chiari anymore. What should I do to get a decent diagnosis? I have a head MRI and now a full spine MRI. I can't get a CINE MRI because no one here even knows what that is or how to get one.
Should I just send these images of to a specialist and have them evaluate them? I know that Chiari institute does that but I would never be able to go there so I don't know how much help that would be. I'm so confused right now, any advice would be very much appreciated.
.
I was told that I had DDD back about 7 years ago when I was only 22 . I had my doc look at those x rays again a few years ago and he said I did not have it. Now I have this MRI and it says I have DDD and says nothing about Chiari. I don't know what to think. I'm so tired of not getting any real answers. I don't have anything to go on with this report. I don't know what to do from here. I'm not even sure if I have Chiari anymore. What should I do to get a decent diagnosis? I have a head MRI and now a full spine MRI. I can't get a CINE MRI because no one here even knows what that is or how to get one.
Should I just send these images of to a specialist and have them evaluate them? I know that Chiari institute does that but I would never be able to go there so I don't know how much help that would be. I'm so confused right now, any advice would be very much appreciated.
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COMMUNITY LEADER
Hi...well from what I am understanding u have DDD-degenerative disk disease..which is not a disease but more just a name of a natural aging process, but those with chiari tend to have the onset a tad earlier than most.
U have a bulging disk as well in the thoracic spine....and I think I saw it in the lumbar as well....
As for the chiari not being mentioned, it may have been in the RX for the radiologist to look for nething in addition to the chiari...so, the chiari is a given...is this the same facility that did that study?
"selma"
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