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MRI Of Cervical Spine Shows Multifactorial Spinal Stenosis, Abnormal Signal Within Spinal Cord Probably Representing Mylomalacia. Indications?
, I'm not under a doctors care, but back in Sept. of 2010 I was under the care of Dr. Noel P Lim, I went to him for neck pain and burning and tingling in right arm and left arm. He did an Exam and was very concerned so he had an MRI done, the findings were as followed:
Technique: MRI of the cervical spine was performed at 1.5 Tesla per routine protocol.
Comparison (s) none available.
Findings: Images are markedly degraded by patients motion. Several imaging sequences were repeated without significant improvement in image quality.
There is advanced degenerative disc disease throughout the cervical spine, most noted at C3/4, C5/6, and C6/7. Modic type degenerative endplate changes are noted within the C5, C6, and C7 vertebral bodies. There is focal increased T2 signal within the spinal cord at C3/4 and C4/5 levels.
C2/3: Broad-based posterior disc osteophyte complex without significant spinal canal or neural foraminal narrowing.
C3/4: Advanced degenerative disc disease with complete loss of disc space. Large broad-based posterior disc osteophyte complex resulting in severe bilateral C4 neuro foraminal narrowing. There is flattening along the ventral margin of the thecal sac and the AP diameter spinal canal is narrowed to 8 mm.
C4/5: Degenerative disc disease. Central posterior disc herniation/protrusion with mass effect along the ventral aspect of the thecal sac and spinal cord. AP diameter of the spinal canal is near the 5-6 mm.
C5/6: Advanced degenerative disc disease. Broad-based posterior disc osteophyte complex. Short pedicles. There is flattening of the thecal sac and spinal cord. AP diameter of the spinal canal is narrowed to 8 mm at this level. There is severe bilateral C6 neural foraminal stenosis.
C6/7 Advanced degenerative disc disease. Broad-based posterior osteophyte complex. The diameter of the spinal canal measures 9 mm . There is mild to moderate bilateral C7 neural foraminal stenosis.
C7/T1: No significant stenosis.
Impression: There is multifactorial spinal stenosis and moderate or severe bilateral neural foramial stenosis from the C3/4 through C6/7 levels.
There is abnormal signal within the cervical spinal cord at the C3/4 and C4/5 levels, probably representing mylomalacia secondary to chronic compression.
Technique: MRI of the cervical spine was performed at 1.5 Tesla per routine protocol.
Comparison (s) none available.
Findings: Images are markedly degraded by patients motion. Several imaging sequences were repeated without significant improvement in image quality.
There is advanced degenerative disc disease throughout the cervical spine, most noted at C3/4, C5/6, and C6/7. Modic type degenerative endplate changes are noted within the C5, C6, and C7 vertebral bodies. There is focal increased T2 signal within the spinal cord at C3/4 and C4/5 levels.
C2/3: Broad-based posterior disc osteophyte complex without significant spinal canal or neural foraminal narrowing.
C3/4: Advanced degenerative disc disease with complete loss of disc space. Large broad-based posterior disc osteophyte complex resulting in severe bilateral C4 neuro foraminal narrowing. There is flattening along the ventral margin of the thecal sac and the AP diameter spinal canal is narrowed to 8 mm.
C4/5: Degenerative disc disease. Central posterior disc herniation/protrusion with mass effect along the ventral aspect of the thecal sac and spinal cord. AP diameter of the spinal canal is near the 5-6 mm.
C5/6: Advanced degenerative disc disease. Broad-based posterior disc osteophyte complex. Short pedicles. There is flattening of the thecal sac and spinal cord. AP diameter of the spinal canal is narrowed to 8 mm at this level. There is severe bilateral C6 neural foraminal stenosis.
C6/7 Advanced degenerative disc disease. Broad-based posterior osteophyte complex. The diameter of the spinal canal measures 9 mm . There is mild to moderate bilateral C7 neural foraminal stenosis.
C7/T1: No significant stenosis.
Impression: There is multifactorial spinal stenosis and moderate or severe bilateral neural foramial stenosis from the C3/4 through C6/7 levels.
There is abnormal signal within the cervical spinal cord at the C3/4 and C4/5 levels, probably representing mylomalacia secondary to chronic compression.
Mon, 28 Oct 2013
User's Response
HI
Thank for asking to HCM
In the beginning of report it said that image quality is not good due to the movement of patient, If I would be a your doctor then I would ask for another imaging report with strict instruction not to move your head at all during the procedure, because such movement can not give good quality image and bad images greatly effect the interpretation, which may not be taken in to consideration, but still it can be said that the above report is suggestive of cervical spine degenerative disease may required medical attention better go for another MRI have nice day.
Thank for asking to HCM
In the beginning of report it said that image quality is not good due to the movement of patient, If I would be a your doctor then I would ask for another imaging report with strict instruction not to move your head at all during the procedure, because such movement can not give good quality image and bad images greatly effect the interpretation, which may not be taken in to consideration, but still it can be said that the above report is suggestive of cervical spine degenerative disease may required medical attention better go for another MRI have nice day.
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