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What Do These Attached MRI Reports Indicate?
Question: MRI IMAGE REVIEW
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the first path is to download an executable zipped folder. It contains "everything from application program to MRI files
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executable zipped folder:
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https://drive.google.com/a/profesor-de-ingles.org/file/d/0B2QjpyAJZSh_c2M3RzJNY3JkM1k/view?usp=sharing
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unzipped folder:contains the same info but you need to download each file / folder
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https://drive.google.com/drive/folders/0B2QjpyAJZSh_SEl4ZkpFOGh2RUk?usp=sharing
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1-download all
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2-double click on "Reviewer" folder
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3-Double click on Reviewer.exe
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4- it should open up with my MRI files available to be seen
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5- From My mouth to God's ears - Let me know
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the first path is to download an executable zipped folder. It contains "everything from application program to MRI files
>
executable zipped folder:
>
https://drive.google.com/a/profesor-de-ingles.org/file/d/0B2QjpyAJZSh_c2M3RzJNY3JkM1k/view?usp=sharing
>
--------------------------------------------------------
>
unzipped folder:contains the same info but you need to download each file / folder
>
https://drive.google.com/drive/folders/0B2QjpyAJZSh_SEl4ZkpFOGh2RUk?usp=sharing
>
------------------------------------------------
>
1-download all
>
2-double click on "Reviewer" folder
>
3-Double click on Reviewer.exe
>
4- it should open up with my MRI files available to be seen
>
5- From My mouth to God's ears - Let me know
Brief Answer:
Please reupload the MRI.
Detailed Answer:
Hello and thanks for using HCM.
I tried to download the MRI folder you uploaded.
The link you provided results broken.
Please reupload the MRI.
Awaiting............
Please reupload the MRI.
Detailed Answer:
Hello and thanks for using HCM.
I tried to download the MRI folder you uploaded.
The link you provided results broken.
Please reupload the MRI.
Awaiting............
Above answer was peer-reviewed by :
Dr. Kampana
I hope got the updated links to view my MRI
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I just upload the MRI report
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please let me know if you are able to view my MRI images
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THANKA
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I just upload the MRI report
>
please let me know if you are able to view my MRI images
>
THANKA
Brief Answer:
Compressed nerve roots, spinal cord seems to be free.
Detailed Answer:
Hello again and thanks for providing the MRI report and images.
There are present degerative changes of the vertebrae and intervertebral discs at 4-5-6-7 cervical levels.
The spinal cord manifests two areas of malatia mostly because of the past compression.
There is noted also laminectomy (decompression) at the levels 4-5-6.
The spinal cord is surrounded by the cerebrospinal fluid spaces and seems to be no longer compressed, so the laminectomy is working.
Some nerves exit zones are narrowed due to degerative changes, so, I guess you still should have some symptoms such pain and/or sensibity changes, etc.
If you experience moderate to severe symptoms related to narrowing of the nerve roots exits, (neurological examination is necessary to undergo better this) and if conservative treatment ( painkillers and physical therapy ) fail to improve your symptoms, anterior discectomy and fusion may be necessary.
Hope you found the answer helpful.
Take care.
Compressed nerve roots, spinal cord seems to be free.
Detailed Answer:
Hello again and thanks for providing the MRI report and images.
There are present degerative changes of the vertebrae and intervertebral discs at 4-5-6-7 cervical levels.
The spinal cord manifests two areas of malatia mostly because of the past compression.
There is noted also laminectomy (decompression) at the levels 4-5-6.
The spinal cord is surrounded by the cerebrospinal fluid spaces and seems to be no longer compressed, so the laminectomy is working.
Some nerves exit zones are narrowed due to degerative changes, so, I guess you still should have some symptoms such pain and/or sensibity changes, etc.
If you experience moderate to severe symptoms related to narrowing of the nerve roots exits, (neurological examination is necessary to undergo better this) and if conservative treatment ( painkillers and physical therapy ) fail to improve your symptoms, anterior discectomy and fusion may be necessary.
Hope you found the answer helpful.
Take care.
Above answer was peer-reviewed by :
Dr. Raju A.T
Doctor,
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Thank you so very much for your evaluation of my MRI.
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I do have several follow-up questions
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QUESTION 1 - Is there any Information missing from my MRI Report that you feel would help you in your previous presentation?
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YOU WROTE, "painkillers...fail to improve your symptoms, anterior discectomy and fusion may be necessary."
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STATEMENT 1: I am currently on pain medication (Lyrica, maximum dosage + Cymbalta 60 mg) per day which are wreaking havoc with having any kind of lifestyle because This pain medicine Therapy regimen is always making me drowsy And I am afraid that they may be "masking" Pain symptoms that I should be aware of as my body talks to me., Your comments please
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QUESTION 2: I am beginning to feel some NUMBNESS at the bottom of both of my feet, the area being 4 inches long By 1/2 inch wide right in the middle of both of the bottoms of my feet. Your comments and concerns?
>
STATEMENT 2: I am 65 years old with a Lineage. of people living To their early 90s in relative good health. I have read many Articles in Medical journals regarding anterior discectomy and fusion And successful outcomes with elderly patients.
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QUESTION 2: My concerns Are twofold: A highly qualified neurosurgeon told me during my initial consultation that if I was 45 years old he would have performed a anterior discectomy and fusion". He continued by saying however if I perform that operation now at your age of 65 you will never talk again and you will have a trachea tube in your throat for the rest of your life"
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Those are hard words to forget, your comments and concerns regarding my decision to have a anterior discectomy
>
What levels of my neck would you suggest having fused?
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Would it be "SAFER" (regarding LESS stretching of the Esophagus and larynx) If I had only one level fused as opposed to two or three levels fused? If yes which level would you Recommend to fuse?
>
Thank you so very much for your expert answers and I look forward to receiving back more information from you
>
Thank you so very much for your evaluation of my MRI.
>
I do have several follow-up questions
>.
QUESTION 1 - Is there any Information missing from my MRI Report that you feel would help you in your previous presentation?
>
YOU WROTE, "painkillers...fail to improve your symptoms, anterior discectomy and fusion may be necessary."
>
STATEMENT 1: I am currently on pain medication (Lyrica, maximum dosage + Cymbalta 60 mg) per day which are wreaking havoc with having any kind of lifestyle because This pain medicine Therapy regimen is always making me drowsy And I am afraid that they may be "masking" Pain symptoms that I should be aware of as my body talks to me., Your comments please
>
QUESTION 2: I am beginning to feel some NUMBNESS at the bottom of both of my feet, the area being 4 inches long By 1/2 inch wide right in the middle of both of the bottoms of my feet. Your comments and concerns?
>
STATEMENT 2: I am 65 years old with a Lineage. of people living To their early 90s in relative good health. I have read many Articles in Medical journals regarding anterior discectomy and fusion And successful outcomes with elderly patients.
>
QUESTION 2: My concerns Are twofold: A highly qualified neurosurgeon told me during my initial consultation that if I was 45 years old he would have performed a anterior discectomy and fusion". He continued by saying however if I perform that operation now at your age of 65 you will never talk again and you will have a trachea tube in your throat for the rest of your life"
>
Those are hard words to forget, your comments and concerns regarding my decision to have a anterior discectomy
>
What levels of my neck would you suggest having fused?
>
Would it be "SAFER" (regarding LESS stretching of the Esophagus and larynx) If I had only one level fused as opposed to two or three levels fused? If yes which level would you Recommend to fuse?
>
Thank you so very much for your expert answers and I look forward to receiving back more information from you
Brief Answer:
Questions answered below.
Detailed Answer:
Welcome back.
Question1: I examined the images of the MRI too, so, together with the report, the situation is clear for me.
Since the painkillers are working, it is advisable to continue with the conservative treatment.
Question 2: Numbness in feet may be related to the myelomalacia, but also may be caused by peripheral nerves compression (Tarsal tunnel syndrome).
Getting evaluated clinically by your Doctor is necessary to understand better this issue.
Question 3: If the anterior discectomy and fusion will be considered, in my opinion, two levels (C3-4 and C4-5) should be considered since there is moderate to severe compression.
Of course, there are risks with such surgical procedures, but most of the cases result in very good outcomes.
Hope this helps.
Greetings.
Questions answered below.
Detailed Answer:
Welcome back.
Question1: I examined the images of the MRI too, so, together with the report, the situation is clear for me.
Since the painkillers are working, it is advisable to continue with the conservative treatment.
Question 2: Numbness in feet may be related to the myelomalacia, but also may be caused by peripheral nerves compression (Tarsal tunnel syndrome).
Getting evaluated clinically by your Doctor is necessary to understand better this issue.
Question 3: If the anterior discectomy and fusion will be considered, in my opinion, two levels (C3-4 and C4-5) should be considered since there is moderate to severe compression.
Of course, there are risks with such surgical procedures, but most of the cases result in very good outcomes.
Hope this helps.
Greetings.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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