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What do these MRI results mean? (C-Spine)
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What do these MRI results mean? (C-Spine)

5712057?1274591792
I'm a 46 year old male with DDD, and have been seeing a chiropractor for 15 years or so, and he would always adjust my neck.  Recently tried a new chiropractor, and after doing complete spinal x-rays, he said my neck "is a mess" and he won't touch that, but will help me with my mid and lower back, where a curvature (s-shape) from T-spine to L-spine has developed. He did order a cervical MRI and the results are posted below.  Symptoms are virtually no neck pain, but severe pain in left shoulder, and tingling in top of forearm into the thumb, index and middle fingers. Been experiencing some visual changes also. Vision gets blurrier as the day goes on.  


Patient History: Pain
BODY OF REPORT:

Noncontrast MRI examination cervical spine performed on a high field strength system utilizing multiple pulse sequences axial sagittal planes. No prior.

Normal prevertebral soft tissue vertabral body heights, alignment. Post elements intact. Modic type 2 (fatty) degenerate endplate change noted at C5-6.

Spinal canal patent. Cervical cord is normal appearance. Cerebellar tonsils normally located. Vertebral artery flow voids preserved.

C2-3: No bulge herniation. No canal foraminal narrowing

C3-4: Disk osteophyte complex including uncovertebral hypertrophy. Mild neural foraminal narrowing bilaterally. No canal stenosis.

C4-5: Disk osteophyte complex including uncovertabral hypertrophy. Moderate left and mild right neural foraminal narrowing. No significant canal stenosis.

C5-6: Disk osteophtye complex including uncovertebral hypertrophy. Moderate bilateral neural foraminal narrowing. No significant canal stenosis.

C6-7: Disk osteophyte complex. Severe left and moderate to severe right neural foraminal narrowing. Mild canal stenosis.

C7-T1: No bulge herniation. No canal foraminal narrowing.

IMPRESSION:

C3-4: Disk osteophyte complex including uncovertebral hypertrophy. Mild neural foraminal narrowing bilaterally. No canal stenosis.

C4-5: Disk osteophyte complex including uncovertebral hypertrophy. Moderate left and mild right neural foraminal narrowing. No significant canal stenosis.

C5-6: Disk osteophyte complex including uncovertebral hypertrophy. Moderate bilateral neural foraminal narrowing. No significant canal stenosis.

C6-7: Disk osteophyte oomplex. Sever left and moderate to severe right neural foraminal narrowing . Mild canal stenosis.

Thanks for any info!
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Avatar_m_tn
Looks like foraminal narrowing is responsible for the majority of your pain, the foramina is an opening in the spinal column where the spinal nerves pass through. The nerves at these levels are probably being compressed by bone spurs. (Arthritis) The worse being at C6-7 (Just like me) I posted the symptoms below for C5 -7 nerve root compression. C4-5 is C5 nerve root and C5-6 is C6 nerve root and so on. Some people don’t experience all symptoms, for example you have no neck pain.

C5 - The main result of a pinched C5 nerve root is shoulder pain, weakness in the deltoid muscles, along with the possibility of a numb sensation in the shoulder area.
C6 - The main result of a pinched C6 nerve is pain radiating down your arm and into your thumb.  Other less common symptoms include weakness in the biceps and wrist muscles.
C7 - The main result of a pinched C7 nerve is pain and numbness radiating down the arm and into the middle finger

It’s not a good idea to let a Chiropractor fool around with your neck, particularly when you have undiagnosed problems.

Take Care
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1093617_tn?1279305602
Hi, Thank you for your question. Your report suggests that there are osteophytic complex formations at cervical spine. Osteophytes are new bone formation and this occurs when vertebrae degenerate and loose shock absorbing capacity. Therefore, osteophytes formation may be associated with nerve compression and requires a doctor’s opinion for medications or surgery. You may also experience pain, numbness, tingling, and weakness in extremities or neck. I would suggest consulting a neurologist as well in order to reach at probable diagnosis here. Hope this information proves helpful to you.
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Avatar_f_tn
Hi, I am having numbness and tingling to both arms and occ. pain in thumb and fore finger.  I also am dizzy at times and drop thinks constantly.  My MRI results are as follows.
Findings:

The vertebral bodies are maintained in height.  There is straightening of the normal cervical lordosis.
The C2-3 level is normal.  The C3-4 level demonstrates a small disk osteophyte complex eccentric to the left with indentation of the ventral thecal sac.
At C4-5 small disk osteophyte complex is demonstrated.
At C5-6, a broad based disk osteophyte complex indents the thecal sac and abuts the spinal cord.  There is root entry zone and central spinal stenosis.  At C6-7, a disk osteophyte complex indents the thecal sac and abuts the ventral spinal cord resulting in central and lateral recess stenosis.  The C7-T1 level is normal.

Impression:
1.  Tricompartmental stenosis at C5-6 and C6-7 resulting from disk osteophyte complexes.
2. Small disk osteophyte complex eccentric to the right at C3-4.
3.  Cervical straightening.

Can't get into see the neurologist soon and wonder what all this means and also does it mean surgery?

Thanks
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Avatar_m_tn
C4 c5 level as a disc bulge with osteophyte complex causing severe central canal stenosis and moderate to severe bilateral neural foraminal narrowing. The C 56 level as a disc bulge osteophyte complex causing moderate severe canal stenosis and moderate to severe bilateral neural foraminal narrowing
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Avatar_m_tn
C4 c5 level as a disc bulge with osteophyte complex causing severe central canal stenosis and moderate to severe bilateral neural foraminal narrowing. The C 56 level as a disc bulge osteophyte complex causing moderate severe canal stenosis and moderate to severe bilateral neural foraminal narrowing
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Avatar_m_tn
IMPRESSION:
1. Interval progression of degenerative disc disease from C3-4
through C7-T1 when compared to previous examination from March 2009.
There is degenerative disc disease and facet joint arthropathy
throughout the cervical and upper thoracic spine with a few levels
of severe facet joint arthropathy. There is moderate central spinal
canal stenosis at C4-5 and C5-6. There is mild-to-moderate central
spinal canal stenosis at C3-4 and C6-7. There is mild central spinal
canal stenosis at C2-3.
2. There are multiple foraminal stenoses secondary to facet joint
arthropathy and degenerative disc disease including severe bilateral
C3-4, severe right C4-5, moderate to severe left C4-5, severe
bilateral C5-6, moderate right C6-7, and severe left C6-7.
3. Unchanged moderate arthrosis involving the articulation between
the odontoid and anterior arch of C1.
4. Patient motion.
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Avatar_m_tn
My MRI report has two impressions. 1) Discal bulge at C6-C7 with no neural compromise. 2) Posterior marginal ostephytes, discal bulge/ protrusion at L1-L2, discal bulge at L4-L5, L5-S1 with thecal indentation.

Kindly tell me what might be the reason for above & the best solution for the above. which specialist i should meet. Thanks in advance
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