Aa
What should I do
I'm in so much pain the pressure alone in my neck head and shoulders is making me cry to God hoping he will lift me from this pain. Can you please look at this MRI and tell me should I see a surgeon or should I just be patient with my Spine Dr.? please anyone I really don't even know what the results are nor how sever. so here is the reading from my MRI:
STUDY: MRI CERVICAL SPINE WITHOUT CONTRAST
TECHNIQUE:
1. Sagittal STIR, T1 and T2.
2. Axial T1 and T2*
Findings: The Coronal localizer demonstrates a mild detro-convex scoliosis centered at the cervicothoracic junction. In the sagittal plane, there is mild retrolisthesis of C5 on C6. Alignment is otherwise essentially normal.
Degenrative spondylotic change is demonstrated at all levels from C2-C3 to C6-C7. The degenerative changes are most pronounced at the C5-C6 and C6-C7 disks, with moderate disk space narrowing at both levels. Cervical disk space heights are otherwise relatively preserved.
Marrow signal intensity is unremarkable.
Noted is dorsal angulation of the odontoid process. This can be seen as a normal anatomical variant or this represents an acute injury.
AXIAL IMAGES:
C2-C3: Normal.
C3-C4: Small posterior spondylotic bar eccentric to the left. No significant spinal stenosis. Facet and uncoverterbral hypertrophy give rise to formaninal narrowing that is mild-to-severe on the left. Right neural foramen is patent.
C4-C5: Small posterior spondylotic bar. No spinal stenosis. Uncoverterbral and facet hypertrophy cause mild-to-moderate right formaninal narrowing. Left neural foramen is widely patent.
C5-C6: Retrolisthesis and relatively concentric, posterior spondylotic bar. There is associated mass effect on the thecal sac. AP dimension of the thecal sac in the midline is reduced to about 6 mm. This normalle equates to significant spinal stenosis. However, in this patient, although the CSF ventral to the cord is effaced, there appears to be a tiny amount of CFS along the dorsal aspect of the cord. In addition, there is no flattening or deformity of the cord to suggest impingement. Uncoverterbral and facet hypertrophy give rise to moderate formaninal narrowing bilaterally.
C6-C7: Concentric posterior spondylotic bar. There appears to be a small superimposed, central/right central protrusion. There is a mass effect the ventral aspect of the thecal sac without significant appearing spinal stenosis. Mild foraminal stenoses are demonstrated bilaterally.
C7-T1: No significant findings.
Of note, at T2-T3, there is a small, right-sided disk herniation laterally that causes slight mass effect on the thecal sac. There is no associated spinal stenosis or spinal cord impingement. The spinal cord has normal caliber, contour, and signal intensity throughout.
IMPRESSION:
1. MULTILEVEL SPONDYLOTIC CHANGE GIVES RISE TO SPINAL STENOSIS AT C5-C6 AS DESCRIBED. THERE IS NEAR ENTRAPMENT OF THE CORD AT THIS LEVEL. HOWEVERE, NO FINDINGS TO SUGGEST IMPINGMENT.
2. ACQUIRED BONY FORMINAL STENOSES ARE NOTED AT MULTIPLE LEVELS FROM CHRONIC DEGENRATIVE FACET AND UNCOVERTEBRAL HYPERTROPHY. FORMINAL NARROWING APPEARS TO BE PRONOUNCED AT C3-C4 ON THE LEFT WHERE DEGREE OF STENOSIS IS CONSIDERED MODERATE TO SEVERE. THERE COULD POTENTIALL BE IMPINGMENT OF EXITING LEFTC4 NERVE ROOT. CLINICAL CORRELATION FOR LEFT C4 RAICULOPATHY RECOMMENDED.
STUDY: MRI CERVICAL SPINE WITHOUT CONTRAST
TECHNIQUE:
1. Sagittal STIR, T1 and T2.
2. Axial T1 and T2*
Findings: The Coronal localizer demonstrates a mild detro-convex scoliosis centered at the cervicothoracic junction. In the sagittal plane, there is mild retrolisthesis of C5 on C6. Alignment is otherwise essentially normal.
Degenrative spondylotic change is demonstrated at all levels from C2-C3 to C6-C7. The degenerative changes are most pronounced at the C5-C6 and C6-C7 disks, with moderate disk space narrowing at both levels. Cervical disk space heights are otherwise relatively preserved.
Marrow signal intensity is unremarkable.
Noted is dorsal angulation of the odontoid process. This can be seen as a normal anatomical variant or this represents an acute injury.
AXIAL IMAGES:
C2-C3: Normal.
C3-C4: Small posterior spondylotic bar eccentric to the left. No significant spinal stenosis. Facet and uncoverterbral hypertrophy give rise to formaninal narrowing that is mild-to-severe on the left. Right neural foramen is patent.
C4-C5: Small posterior spondylotic bar. No spinal stenosis. Uncoverterbral and facet hypertrophy cause mild-to-moderate right formaninal narrowing. Left neural foramen is widely patent.
C5-C6: Retrolisthesis and relatively concentric, posterior spondylotic bar. There is associated mass effect on the thecal sac. AP dimension of the thecal sac in the midline is reduced to about 6 mm. This normalle equates to significant spinal stenosis. However, in this patient, although the CSF ventral to the cord is effaced, there appears to be a tiny amount of CFS along the dorsal aspect of the cord. In addition, there is no flattening or deformity of the cord to suggest impingement. Uncoverterbral and facet hypertrophy give rise to moderate formaninal narrowing bilaterally.
C6-C7: Concentric posterior spondylotic bar. There appears to be a small superimposed, central/right central protrusion. There is a mass effect the ventral aspect of the thecal sac without significant appearing spinal stenosis. Mild foraminal stenoses are demonstrated bilaterally.
C7-T1: No significant findings.
Of note, at T2-T3, there is a small, right-sided disk herniation laterally that causes slight mass effect on the thecal sac. There is no associated spinal stenosis or spinal cord impingement. The spinal cord has normal caliber, contour, and signal intensity throughout.
IMPRESSION:
1. MULTILEVEL SPONDYLOTIC CHANGE GIVES RISE TO SPINAL STENOSIS AT C5-C6 AS DESCRIBED. THERE IS NEAR ENTRAPMENT OF THE CORD AT THIS LEVEL. HOWEVERE, NO FINDINGS TO SUGGEST IMPINGMENT.
2. ACQUIRED BONY FORMINAL STENOSES ARE NOTED AT MULTIPLE LEVELS FROM CHRONIC DEGENRATIVE FACET AND UNCOVERTEBRAL HYPERTROPHY. FORMINAL NARROWING APPEARS TO BE PRONOUNCED AT C3-C4 ON THE LEFT WHERE DEGREE OF STENOSIS IS CONSIDERED MODERATE TO SEVERE. THERE COULD POTENTIALL BE IMPINGMENT OF EXITING LEFTC4 NERVE ROOT. CLINICAL CORRELATION FOR LEFT C4 RAICULOPATHY RECOMMENDED.
Thanks Opinmin. I was'nt sure how much I could say about the results.
I see several things going on with her neck.
Yes, do as Opinmin says and see a Neurosurgeon. Please keep us up to date on how your doing. Take care. Remar
I see several things going on with her neck.
Yes, do as Opinmin says and see a Neurosurgeon. Please keep us up to date on how your doing. Take care. Remar
You have not seen a neurosurgeon yet? Your spine is a mess. You are ready for surgery. The spine specialist should be talking to you about surgery.
Meanwhile, what has the spine specialist recommended for pain control?
Back surgery is delicate as you can imagine.
Keep us posted.
Meanwhile, what has the spine specialist recommended for pain control?
Back surgery is delicate as you can imagine.
Keep us posted.
Have an Answer?
You are reading content posted in the General Health Community
Top General Health Answerers
Nelson, New Zealand
Queensland, Australia
AL
way off the beaten track!, BC
Discharge often isn't normal, and could mean an infection or an STD.
In this unique and fascinating report from Missouri Medicine, world-renowned expert Dr. Raymond Moody examines what really happens when we almost die.
Think a loved one may be experiencing hearing loss? Here are five warning signs to watch for.
When it comes to your health, timing is everything
We’ve got a crash course on metabolism basics.
Learn what you can do to avoid ski injury and other common winter sports injury.
