Neurology Community
What do these MRI results mean? (C-Spine)
About This Community:

This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

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!
Related Discussions
11 Comments Post a Comment
Blank
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
Blank
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.
Blank
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
Blank
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
Blank
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
Blank
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.
Blank
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
Blank
Avatar_f_tn
I had ACDF on 11/29/14 , had a follow up MRI on 12/23/14 since I am still having pain also some pain in the left shoulder blade area and numbness in my left had. I had a fusion at C4-5 and C5-6. The follow up MRI shows C2-3 Degenerative facet arthritis on right side, C3-4 Degeneratvie arthritis left side. C4-5 solid intact fusion, no impingement. C5-6 Solid intact fusion. Mild fused bone osteophyte resulting in mild left foraminal stenosis. C6-7 small broad based disc protrusion. Mild Canal stenosis. So my question is...Does this sound NORMAL after surgery?
Blank
7721494_tn?1421947223
Even with a two-level fusion, you still have mild spine disease above and below the fused discs. The report also mentions the beginnings of facet syndrome at C2-C3 on the right side, which may be contributing to your pain. Since we don't know the condition of C4-5 or C5-6 prior to fusion, I can only guess that the ACDF addressed the more severe problems.

The findings above and below the fusion are do not require surgery, but you may benefit from interventional pain treatments like injections or nerve ablations that can help control the pain spine disease. Ask for a referral to an interventional pain specialist. These doctors are trained anesthesiologists and board certified by the American Board of Pain Management (DABPM).



Blank
Avatar_n_tn
Cervical MRI
Does it make a difference whether my Primary Provided indicated that this was symptoms related to an automobile accident (whiplash) in the 'Clinical Indication' of reason for a MRI (so the Radiologist to gage)? Otherwise, the reason was listed 'Neck pain with radicular symptoms'.
The MRI w/o contrast are as follow:
There is mild degenerative disc disease with disc desiccation and posterior disc osteophyte complexes which will be describe in detail below. There is mild heterogeneity of the marrow likely representing a combination of degenerative endplate signal alterations and mild fatty marrow replacement. In short..
C3/4: There is a moderate sized posterior disc osteophyte complex which abuts the cervical cord without impingement of displacement seen. In conjunction with facet arthropathy there is moderate bilateral neural foraminal narrowing.
C4/5: There is a small posterior disc osteophyte complex indenting the ventral thecal sac without cord impingement seen. The neural foramina appears patent.
C5/6: There is a small posterior disc osteophyte complex indenting the ventral thecal sac without cord impingement seen. There is mild bilateral neural foraminal narrowing.
C6/7: There is a small posterior disc osteophyte complex indenting the ventral thecal sac without cord impingement seen. The neural foramina appears patent.
C7/T1: There is no significant spinal stenosis or neural foramen narrowing. Small bilateral nerve root cysts are seen within the neural foramina.
IMPRESSION: Moderate degenerative discs disease with multilevel disc osteophyte complexes the largest is at the C3-4 level as described.
Blank
Avatar_n_tn
Chronic pain. Tired of waking up due to dead or numb arms  or walking around  & then having to drive with tingling fingers & thumbs which sometimes alternate with having tingling (pins & needles) ribs and left cheek/jaw area. Cervical Pain covers my shoulder Back, Neck (including under the base of head down my neck, shoulders, back muscles and spine).  The rest of my back (mid, lower & sacriotic/tailbone) MRI is a similar experience but in the lower extremities which included hips/glutes & tailbone pain and stiffness. Pain and numbness in right leg at times leading to loss of motor skills. Numb and tingling feet and big toes.

Lumbar MRI at L4-5: small disc bulge with left subarticular annular fissure is noted. Mild bilateral neural foraminal narrowing is present.  
At L3/L4: small disc bulge contact the ventral thecal sac. Mild bilateral neural foraminal narrowing is present.
Incompletely visualized sacroiliac joints are patent.
Findings: Conus terminates at L1. No focal abnormal signal is identified within the cord. Nerve roots are normally distributed throughout the thecal sac and are not abnormally. Mild lower lumbar dextro curvature apex to the right of L3 is noted. Inhomogeneous marrow appears largely related to the red and fatty marrow with a significant component of red marrow but there is no discrete suspicious marrow lesion, fracture or compression deformity.

IMPRESSIONS: Small disc bulging at L3/L4 and L4/L5. Left subarticular annular fissure at L4/L5. No focal disc herniation or neural foraminal narrowing.

What does this mean in terms of injuries and prognosis with whatever type of treatment? Thanks for your responses.
Blank
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Neurology Community Resources
RSS Expert Activity
748543_tn?1371753642
Blank
TMJ/TMJ The Connection Between Teet...
Jan 27 by Hamidreza Nassery , DMD, FICOI, FAGDBlank
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
Top Neurology Answerers
293157_tn?1285877039
Blank
Wobbly
338416_tn?1420049302
Blank
jensequitur
Fort Worth, TX
620923_tn?1426651955
Blank
selmaS
Allentown, PA
Avatar_m_tn
Blank
Ball123
1780921_tn?1416842066
Blank
flipper336
Chandler, AZ
209987_tn?1418913008
Blank
tschock
AB