This is mostly when exerting any physical activity and randomly when sitting. I have had x-rays and MRIs of my shoulder with no visual issues. I did have a neck MRI and was wondering if someone can maybe take a peek and put it into layman's terms. Both doctor's talk way over my head and the type of surgery they suggest sound very invasive to me.
Study Result
Impression
IMPRESSION:
Multilevel cervical spondyloarthropathy, most notably involving C5-C6 with associated myelomalacia.
See body of report.
Narrative
COMPARISON: None. Plain film correlation,3/18/2016
RELEVANT CLINICAL HISTORY: ">1 year h/o neck pain and LUE pain and paresthesias with several injuries"
MRI C SPINE WO CONT
TECHNIQUE: Multisequence multiplanar images of the cervical spine were acquired.
OSSEOUS FINDINGS:
Alignment: Straightening of the cervical lordotic curvature centered at C5-6.
Fractures:Negative
Bone marrow: Normal.
Spinal cord:
1. Flattening and T2 hyperintense signal of the cord at the C5-6 level and hyperintense T2 signal of the cord at the C6 level (6:2) favoring myelomalacia.
2. Linear T2 hyperintense signal at the C2 level (7:2) without volume loss measuring 0.8 mm representing a developmental variant.
The following segmental analysis is as outlined below:
C2/C3: No central or neuroforaminal stenosis.
C3/C4: Broad-based disc osteophyte complex causes moderate effacement of the anterior CSF space. Mild RIGHT neuroforaminal stenosis. No LEFT neuroforaminal stenosis.
C4/C5: Broad-based disc osteophyte complex causes moderate to severe effacement of the anterior CSF space. Mild RIGHT neuroforaminal stenosis. Moderate LEFT neuroforaminal stenosis.
C5/C6: Broad-based disc osteophyte complex with an eccentric RIGHT-sided predominance causes severe effacement of the anterior CSF space. Mild flattening of the cord. Severe LEFT neuroforaminal stenosis. Moderate to severe RIGHT neuroforaminal stenosis.
C6/C7: Small RIGHT central disc osteophyte complex causes moderate to severe effacement of the anterior CSF space. No neuroforaminal stenosis.
C7/T1: No central or neuroforaminal stenosis.
SOFT TISSUE FINDINGS:
Minimal extension of the cerebellar tonsils below the foramen magnum (2 mm) which does not meet the criteria for a Chiari one malformation.