
What Do The Following MRI Reports Indicate?

I have radiating spinal pain and pressure, headache on the right side from neck tension, numbness, tingling and radiating pains in all limbs, right shoulder pain, I could barely walk for 2 straight days. Here are the results. Do these conditions just disappear, cure or heal? I am confused as to why I have so much pain with these results on my recent MRI. It took about 45 minutes from head to lumbar. Is this normal? Is it reversible? Does it heal or go away?
Sept 7, 2007
Seven cervical vertebrae are demonstrated and are in good alignment. The vertebral bodies are normal in height. The disc spaces are within normal limits. The marrow pattern is also normal.
C2/C3: There is a small left posterior lateral subligamentous herniation of the nucleus pulposus. Mild left foraminal narrowing.
C3/C4: Minimal left foraminal narrowing, no central stenosis.
C4/C5 : Minimal left foraminal stenosis, the central canal diameter is normal
C5/C6 : Mild left foraminal stenosis , the central canal diameter is normal.
C6/C7: Moderate left foraminal stenosis, secondary to a left posterior and subligamentous herniation of the nucleus pulposus. The central canal diameter is normal.
There is moderate left C6/C7 foraminal stenosis secondary to subligamentous herniation of the nucleus pulposus at this level.
2. Please also note the above description and levels of other associated abnormalities.
MRI of the cervical spine dated 4/2/9.
Comparison: 9/7/7. Plain film:11/20/7.
Study was performed without IV contrast in standard sagittal and axial planes.
Findings:
Foramen Magnum: No abnormalities
C1/2, sagittal imaging only: No abnormalities
C2/3: No abnormalities
C3/4: Minimal left foraminal narrowing from uncovertebral spurring
C4/5: Minimal left foraminal narrowing from uncovertebral disease
C5/6: Minimal left foraminal narrowing from uncovertebral disease C6/7: Mild left foraminal narrowing from uncovertebral disease
C7/T1: Minimal narrowing left neural foramen from uncovertebral disease
Impression:
No significant disc protrusion or stenosis. Findings are
stable compared with the last exam with some minimal/mild left neural foramen narrowings from uncovertebral disease.
Primary Diagnostic Code: MINOR ABNORMALITY
MRI of the cervical spine without contrast:
Comparison: X-ray-Cervical spine series 10/20/2014
Technique: Sagittal T1 and T2 weighted and axial T1 and T2 weighted images were obtained of the cervical spine.
Findings: Sagittal images demonstrate normal bony alignment and preservation of vertebral body height and disc height. Cord
signal intensity is normal. Visualized intracranial contents are within normal limits. Paravertebral soft tissues are within
normal limits.
The following levels were interrogated:
C2-C3: No significant disc disease. No significant spinal canal narrowing or neuroforaminal narrowing.
C3-C4: No significant disc disease. No significant spinal canal narrowing or neuroforaminal narrowing.
C4-C5: No significant disc disease. No significant spinal canal
Impression:
Normal MRI of the cervical spine.
Nerve related problem likely.
Detailed Answer:
Hello,
Thanks for posting your query.
I have gone through the details mentioned. The symptoms that you are having are suggestive of cervical spondylosis or a nerve related problem. It can be due to decreased levels of vitamin B12 or thyroid hormone level disturbances or Vitamin D3 deficiency or MS. The normal cervical spine MRI findings suggest that there is no nerve root compression. Even if the MRI neck is normal, still the nerve involvement symptoms may be there due to soft tissue swelling or due to inflammation in the nerve itself.
These neural pains are a challenging thing to treat as careful examination is needed to ascertain the level of nerve involvement. You can take some anti-inflammatory pain killer like acetaminophen till you consult your neurophysician.
You can get the medical treatment after proper investigations.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

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