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What Does The Cervical Spine MRI Indicate?
What does all this mean?
Exam: MRI cervical spine without contrast
Date: 11/14/2014
Indications: Cervical radiculopathy.
Technique: The following MR sequences were performed through the cervical spine
on 1.5 Tesla Phillips magnet:
1. T1 sagittal
2. T2 FSE sagittal and axial
3. Sagittal STIR
4. Gradient-echo axial
Findings:
There straightening of the normal cervical lordosis related to spondylosis. A
small focus of T2 prolongation in the T3 vertebral bodies probably and atypical
hemangioma.
Otherwise, alignment, marrow signal, the craniocervical junction, portions of
the posterior fossa visualized and the spinal cord appear unremarkable.
C2-C3 and C3-C4: Unremarkable.
C4-C5: There is a minimal bulge of disc and osteophyte with minimal AP diameter
canal narrowing. The lateral recesses are clear. Uncinate process hypertrophy
causes mild to moderate bilateral neural foraminal narrowing.
C5-C6: There is a bulge of disc and osteophyte with a moderate-sized broad-based
central/right paracentral/lateral protrusion of disc and osteophyte. This causes
effacement of CSF around the spinal cord constituting moderate canal narrowing.
There is mild spinal cord compression and marked right lateral recess/origin of
right neural foramen narrowing. Uncinate process hypertrophy causes moderate to
marked left neural foraminal narrowing.
C6-C7: There is a small to moderate right lateral protrusion of disc and/or spur
causing marked narrowing at the origin of the right neural foramen. Mild disc
bulge causes mild canal narrowing. Uncinate process hypertrophy causes moderate
left neural foraminal narrowing.
C7-T1: Unremarkable.
No masses or other significant abnormalities are found.
Impression:
1. C5-C6 spondylosis with moderate-sized broad-based central/right
paracentral/lateral protrusion of disc and/or osteophyte didn't to moderate
canal narrowing, mild spinal cord compression, marked right lateral recess
narrowing and marked narrowing at the origin of the right neural foramen.
Spondylosis causes moderate to marked left neural foraminal narrowing.
2. C6-C7 small to moderate right lateral protrusion of disc and/or spur with
marked proximal right neural foraminal narrowing.
3. Other spondylosis, as described above.
Reading Radiologist DAVID SCALZO, MD
Date: 11/14/2014 14:47
Exam: MRI cervical spine without contrast
Date: 11/14/2014
Indications: Cervical radiculopathy.
Technique: The following MR sequences were performed through the cervical spine
on 1.5 Tesla Phillips magnet:
1. T1 sagittal
2. T2 FSE sagittal and axial
3. Sagittal STIR
4. Gradient-echo axial
Findings:
There straightening of the normal cervical lordosis related to spondylosis. A
small focus of T2 prolongation in the T3 vertebral bodies probably and atypical
hemangioma.
Otherwise, alignment, marrow signal, the craniocervical junction, portions of
the posterior fossa visualized and the spinal cord appear unremarkable.
C2-C3 and C3-C4: Unremarkable.
C4-C5: There is a minimal bulge of disc and osteophyte with minimal AP diameter
canal narrowing. The lateral recesses are clear. Uncinate process hypertrophy
causes mild to moderate bilateral neural foraminal narrowing.
C5-C6: There is a bulge of disc and osteophyte with a moderate-sized broad-based
central/right paracentral/lateral protrusion of disc and osteophyte. This causes
effacement of CSF around the spinal cord constituting moderate canal narrowing.
There is mild spinal cord compression and marked right lateral recess/origin of
right neural foramen narrowing. Uncinate process hypertrophy causes moderate to
marked left neural foraminal narrowing.
C6-C7: There is a small to moderate right lateral protrusion of disc and/or spur
causing marked narrowing at the origin of the right neural foramen. Mild disc
bulge causes mild canal narrowing. Uncinate process hypertrophy causes moderate
left neural foraminal narrowing.
C7-T1: Unremarkable.
No masses or other significant abnormalities are found.
Impression:
1. C5-C6 spondylosis with moderate-sized broad-based central/right
paracentral/lateral protrusion of disc and/or osteophyte didn't to moderate
canal narrowing, mild spinal cord compression, marked right lateral recess
narrowing and marked narrowing at the origin of the right neural foramen.
Spondylosis causes moderate to marked left neural foraminal narrowing.
2. C6-C7 small to moderate right lateral protrusion of disc and/or spur with
marked proximal right neural foraminal narrowing.
3. Other spondylosis, as described above.
Reading Radiologist DAVID SCALZO, MD
Date: 11/14/2014 14:47
Mon, 12 Jan 2015
I read your question carefully and I understand your concern.
That MRI shows degenerative changes in your spine and herniation of the discs between the vertebrae C5 and C6 as well as C6 and C7. Those herniated discs cause narrowing of the neural foramina, esp on the right, which are the passages for the nerve roots. Compression of the nerve roots due to that causes your symptoms.
Treatment consists in physical therapy and pain killers. If those don't work local injection of steroids and anesthetics are a possible option and lastly if nothing works surgery.
I hope to have been of help.
That MRI shows degenerative changes in your spine and herniation of the discs between the vertebrae C5 and C6 as well as C6 and C7. Those herniated discs cause narrowing of the neural foramina, esp on the right, which are the passages for the nerve roots. Compression of the nerve roots due to that causes your symptoms.
Treatment consists in physical therapy and pain killers. If those don't work local injection of steroids and anesthetics are a possible option and lastly if nothing works surgery.
I hope to have been of help.
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