Aa
MS or ALS scared please
Been having fatigue and headaches for 1 yr. Lately 10 weeks ago got joint pain on left knee, then a couple of weeks later joint soreness in elbows wrist, and fingers....finger feel bruised at times, mild pain radiates down arm at times.. Been to two neurologist and they both both dismissed my concerns saying it's not ms or als that I need to see rheumatologist. ...but this feels neurology related. Did mri of spine and brain. Doc said brain looked good other than cyst on skull base benign no treatment needed. But I just got results os spine mri and need help translating please.
I'm having joint pain in hands with fatigue, lump throat feeling. . Had mri of brain and spine please help me translation. .
FINDINGS: Cervical vertebral bodies have normal height, shape and alignment. The
cervical curvature is hyperlordotic. No worrisome marrow signal abnormality is
identified. Cerebellar tonsils are above foramen magnum. Cervical cord signal is normal
and homogenous. Paravertebral soft tissues are within normal limits.
Disc levels, spinal canal, neural foramina:
Craniocervical junction: No stenosis
C1-C2: No subluxation, ligamentous pannus formation, or stenosis
C2-C3: Intervertebral disc height and signal are maintained. Posterior elements are
normal.There is no stenosis.
C3-C4: Intervertebral disc height and signal are maintained. In the right foraminal zone
there is a 2 mm T1 and T2 low signal intensity abnormality slightly narrowing the
entrance to the right foramen. Posterior elements are normal.
C4-C5: Intervertebral disc height and signal are maintained. Posterior elements are
normal. There is no stenosis.
C7-T1: Intervertebral disc height and signal are maintained. Posterior elements are
normal. There is no stenosis.
IMPRESSION:
1. C5-C6 degenerative disease with mild narrowing of the spinal canal without cord
impingement. There is associated bilateral neural foraminal narrowing, severe on the
left.
2. Small, hypointense signal abnormalities in the right neural foramina at C3-C4 and
C4-C5 are believed variant venous drainage as opposed to disc fragments/ protrusions.
The neural foramina are narrowed with without definite nerve root mass effect. Clinical
correlation with patient's symptoms is necessary. If patient has right-sided symptoms,
postcontrast CT evaluation would be useful for further evaluation.
I'm having joint pain in hands with fatigue, lump throat feeling. . Had mri of brain and spine please help me translation. .
FINDINGS: Cervical vertebral bodies have normal height, shape and alignment. The
cervical curvature is hyperlordotic. No worrisome marrow signal abnormality is
identified. Cerebellar tonsils are above foramen magnum. Cervical cord signal is normal
and homogenous. Paravertebral soft tissues are within normal limits.
Disc levels, spinal canal, neural foramina:
Craniocervical junction: No stenosis
C1-C2: No subluxation, ligamentous pannus formation, or stenosis
C2-C3: Intervertebral disc height and signal are maintained. Posterior elements are
normal.There is no stenosis.
C3-C4: Intervertebral disc height and signal are maintained. In the right foraminal zone
there is a 2 mm T1 and T2 low signal intensity abnormality slightly narrowing the
entrance to the right foramen. Posterior elements are normal.
C4-C5: Intervertebral disc height and signal are maintained. Posterior elements are
normal. There is no stenosis.
C7-T1: Intervertebral disc height and signal are maintained. Posterior elements are
normal. There is no stenosis.
IMPRESSION:
1. C5-C6 degenerative disease with mild narrowing of the spinal canal without cord
impingement. There is associated bilateral neural foraminal narrowing, severe on the
left.
2. Small, hypointense signal abnormalities in the right neural foramina at C3-C4 and
C4-C5 are believed variant venous drainage as opposed to disc fragments/ protrusions.
The neural foramina are narrowed with without definite nerve root mass effect. Clinical
correlation with patient's symptoms is necessary. If patient has right-sided symptoms,
postcontrast CT evaluation would be useful for further evaluation.
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