Diagnostic report
Technique: MRI of brain was performed at3T and included the following sequences:
Sagittal T1 weighted MPRAGE,sagittal T2 SPACE, axial flair SPACE, axial proton density and T2 weighted,
axial diffusion tensor imaging, and gadolinium enhanced sagittal T1 weighted MPRAGE and axial T1 images.
Multiplanar reformatted images were created from multiple sequences as well.
Imaging of the spine consisted of sagittal T1 and T2 weighted images, axial T2 weighted images, and gadolinium enhanced sagittal and axial T1 weighted images.
The patient received approximately 10 ml of multihance intravenously.
Findings:
There are numerous foci of increased signal intensity within the deep and periventricular white matter,
the subcortical white matter, and corpus callosum, Following contrast administration, none domonstrate enhancement.
There are intrinsic cord lesions at T3. T5/6 probably at T7/8. and possibly at C5/6. There ismild right sided myelomalacia T7/8. following contrast administration, thereis no pathologic enhancement.
The above findings are nonspecific but suggestive of demyelinating disease.
There are mild degenerative changes at C5/6 worse than C6/7, noting loss of height of the intravertabral discs at these levels and degenerative edamatous endplate changes and enhancement about C5/6.
At C4/5 there is mild right unconvertebral joint arthrosis with mild right neural foraminal narrowing.
At C5/6there is a small to moderate posterior disc/osteophyte ridge with affacement of the ventral thecal sac.flattening of the ventral contourof the cord. and mild versus moderate left neural foraminal narrowing.
At C6/7 there is a small posterior disc /osteophyte ridge containing a small annularfissure. There is no central canal or neural foraminal stenosis.
There is a schmorl`s node at T11/12. There is a moderate focal left paracentral posterior disc/osteophyte ridge and T6/7 which effaces the ventral thecal sac and mildly/moderately indents the ventral contour of the spinal cord at this level. There is additionally asmallposterior right paracentral disc/osteophyte ridge at T5/6.
Impression;
Degenerative changes within the cervical and thoracic spine as detailed above, noting a moderate posterior disc/osteophyte ridge with flattening of the ventral contour of the cord at C5/6 and a moderate focal left paracentral posterior disc/osteophyte ridge which mildly/moderately indents the ventral contour of the cord at T6/7.
This does not sound as if i should be walking. How bad is this on a scale of 1 to 10 Thanks Guys