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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Any Online Doctor Help Me With The MRI Results?

here are the results of a mri I recently had done could you please explain:

CERVICAL SPINE FINDINGS: There are multilevel degenerative changes from
C2-C7 with reactive marrow edema, disc space height loss and osteophyte
formation. There is degenerative associated retrolisthesis of C4-5 and C5
on 6 measuring approximately 2 mm. No abnormal spinal cord or vertebral
enhancement. Cord caliber and cord signal are normal. Normal
craniocervical junction. Visualized paraspinal and neck soft tissues
unremarkable.
--C1-C2 = Unremarkable.
--C2-C3 = There is no evidence of spinal stenosis, disc bulge or neural
foraminal narrowing.
--C3-C4 = Posterior disc bulge causing ventral impression on thecal sac
without central canal stenosis. Bilateral moderate neuroforaminal stenosis
secondary to uncovertebral hypertrophy.
--C4-C5 = Posterior disc bulge causing mild impression on the ventral cord
and mild central canal stenosis. Lateral disc and uncovertebral
hypertrophy causes moderate right and mild left foraminal stenosis.
--C5-C6 = Posterior disc bulge causing impression on the ventral cord and
moderate central canal stenosis. Mild bilateral neuroforaminal narrowing
secondary to lateral disc.
--C6-C7 = Left paracentral disc bulge without significant central canal
stenosis. Lateral disc bulge causes mild left foraminal stenosis.
--C7-T1 = There is no evidence of spinal stenosis, disc bulge or neural
foraminal narrowing.

--THORACIC SPINE FINDINGS: Alignment, bone marrow signal, cord signal are
normal. Negative for compression fractures. Paraspinous, posterior chest
and posterior abdominal tissues and viscera are unremarkable. T6-7 and
T7-8 disc dessication and height loss with small posterior disc
osteophytes without significant canal stenosis.

--LUMBAR SPINE FINDINGS: Marrow is [otherwise] unremarkable. Normal
alignment. Conus terminates at approximately L1. The visualized spinal
cord morphology and signal, and the cauda equina appear normal. Negative
for epidural hematoma. Retroperitoneal soft tissues are unremarkable.
Sacroiliac joints are normal.
--T12-L1 = There is no evidence of spinal stenosis, disc bulge or neural
foraminal narrowing. [No] facet degenerative disease.
--L1-L2 = There is no evidence of spinal stenosis, disc bulge or neural
foraminal narrowing. [No] facet degenerative disease.
--L2-L3 = There is no evidence of spinal stenosis, disc bulge or neural
foraminal narrowing. [No] facet degenerative disease.
--L3-L4 = There is no evidence of spinal stenosis, disc bulge or neural
foraminal narrowing. [No] facet degenerative disease.
--L4-L5 = Posterior disc bulge, facet and ligamentum flavum hypertrophy
causing mild to moderate central canal stenosis, no significant change.
Disc desiccation.
--L5-S1 = Posterior disc bulge without canal stenosis. Disc-osteophyte and
mild facet hypertrophy causes mild bilateral foraminal stenosis. Disc
desiccation and disc space height loss with degenerative changes.

IMPRESSION:
1. No evidence of spinal cord compression.
2. Multilevel chronic cervical degenerative changes with moderate canal
stenosis at C5-6 secondary to disc osteophyte. Mild to moderate foraminal
narrowing at multiple cervical levels.
3. Unchanged appearance of the lumbar spine with mild to moderate canal
stenosis at L4-5 secondary to disc bulge and hypertrophied facet and
ligamentum flavum.

Mon, 30 Dec 2013
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Rheumatologist 's  Response
this report largely states that you have a degenerative disease involving the spine, called spondylitis.
this is causing some amount of compression of nerve roots and some disc bulges, however all this needs to be corelated with your symptoms.
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Can Any Online Doctor Help Me With The MRI Results?

this report largely states that you have a degenerative disease involving the spine, called spondylitis. this is causing some amount of compression of nerve roots and some disc bulges, however all this needs to be corelated with your symptoms.