What Does This MRI Report Indicate?
numbness in arms. Motor vehicle accident 8 years ago
COMPARISON: 02/14/2010 cervical spine radiographs.
TECHNIQUE: Multiplanar noncontrast MRI cervical spine.
FINDINGS: No acute fracture, dislocation, or suspicious marrow
abnormality. There is mild reversed lordosis in the mid to lower
cervical spine suggesting muscle spasm. Prevertebral soft tissues are
normal. Visualized portions of the posterior fossa of the brain
appear normal.
C2-3: Normal.
C3-4: Minimal disc bulging with no significant stenosis.
C4-5: Minimal disc bulging with no significant stenosis.
C5-6: There is a moderate reduction height of the disc and there is
disc degeneration. There is moderate circumferential disc bulging
with right parasagittal asymmetric prominence. There is uncovertebral
hypertrophy bilaterally, worse on the right. There is complete
effacement of the ventral thecal sac, especially on the right where
there is mild to moderate indentation in the ventral aspect of the
spinal cord. No obvious cord edema. Mild bilateral neural foraminal
narrowing.
C6-7: Mild disc desiccation. Mild broad-based right parasagittal
disc protrusion, effacing the ventral thecal sac. No definite cord
compression. No significant neural foraminal narrowing.
C7-T1: Negative.
IMPRESSION:
C5-6 and C6-7 disc bulging as outlined above, including flattening of
the ventral aspect of the spinal cord at C5-6, especially on the
right. Clinical correlation is recommended.
Mild cervical spondylosis.
Detailed Answer:
Hello,
Thanks for posting your query.
The findings of your MRI scan are suggestive of spondylottic changes in cervical spine at the level of C5-6 and C6-7. The disc bulge at C5-6 level is slightly more causing a bilateral mild nerve root compression. The bulging disc at both the levels is mildly pressing the spinal cord causing the flattening. Mild spasm of the cervical musculature is also noticed causing the change in curvature. All these are minor changes secondary to the accident.
This can be treated conservatively with rest, oral muscle relaxants, methylcobalamin supplements and a regular physiotherapy.
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