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please help with mri results

by MRImark, Oct 26, 2007 07:27AM
Can you decipher all this? (I have been diagnosed with Rheumatoid and Osteo Arthritis)
I have been experiencing tingling and burning sensations in my hands in the last month. And also the pain from the arthritis. Constant pain in my neck and back with constant muscle spasms.
This is what my MRI says:
At L1-L2 there is a focal central posterior protrusion, which effaces the anterior margin of the thecal sac. There is minimal narrowing of the central canal. The neural foramina are patent.
At L2-L3 there is no significant impingement.
At L3-L4 a diffuse disc bulge effaces the thecal sac. There is no foraminal compromise.
At L4-L5 there is a diffuse disc bulge as well as facet overgrowth. There is mild narrowing of the central canal. The neural foramina are patent.
L5-S1 The central canal is patent the neural foramina are patent.
C2-3 Unremarkable
C3-4 There is mild disc desiccation.
C5-6 there is mild disc desiccation. There is disc osteophyte complex formation producing moderate effacement of the thecal sac, greater right than left. There is also disc bulging and Luschka joint disease producing moderate right and left sided neural foraminal encroachment.
C6-7 There is moderate disc desiccation and loss of disc space height. There is mild disc-osteophyte complex formation. There is bilateral neural foraminal encroachment due to Luschka joint disease and disc bulging
C7-T1 Unremarkable
There is straightening of the cervical lordosis suggestive of spasm
Disc osteophyte complex formation C3-4 C5-6 and C6-7
Moderate degenerative disc disease C6-7
Multilevel neural foraminal encroachment as above
Member Comments (1)

by MRImark, Jul 11, 2009 12:02PM
To: MRImark
Musculoskeletal Imaging
Uncovertebral joint
1. Anatomy
also called Luschka's joint, an articulation in the five lower cervical vertebral bodies, formed by the space between one vertebral body and the uncinate processes that project superiorly from the vertebral body immediately below it. These joints have features of both cartilaginous and synovial joints and are also known as the joints of Luschka or neurocentral joints. Also, see uncovertebral joint (II).

2. Pathology

As a consequence of increasing degeneration of intervertebral discs in patients with degenerative disease of the spine, the uncovertebral joints may undergo degeneration and produce radiculopathy. Plain radiographs and CT scans are useful in diagnosing the abnormal relationships resulting from disc degeneration, which often lead to hyperostosis of the uncinate process and adjacent vertebral body. Erosions may also be evident. In some cases narrowing of the neural foramen with spinal nerve compression or impingement on the vertebral artery occurs.

Diastasis of the uncovertebral joints may take place as a consequence of direct trauma or the rotation or slippage of one vertebral body on another in unstable fractures
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