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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Following MRI Scan Report Signify?

my MRI showed interval extension of cervical fusion spanning C4-C7.Mild canal and moderate left foraminal stenosis C4-5. Mild bilateral foraminal stenosis C6-7,severe multifactorial right foraminal stenosis C3-4 could affect the right C4 nerve;multifactorial canal,recess and foraminal stenosis at the upper transitional level related to minor disc bulging and severe facet arthrosis. I have had 2 neck and 2 back surgery,am I looking at another surgery. I m 70 years old
Mon, 20 Nov 2017
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Radiologist,  's  Response
with advancing age, our bone become weak and show signs of degeneration in the form of arthropathies; and to compensate that, the ligaments around the bones enlarge and thicken to prevent any injury. this is what's happening to your spine, the ligaments around the spinal canal have thickened and they are now compressing your spinal cord and nerves which may be the cause of your pain. since you already have had spinal surgeries, they are further aggravating your symptoms.
surgical decision depends on how much pressure is there on your cord and how much pain you feel. in your report, i you didnt mention any damage to cord so i assume it is fine. and as far as your pain is concerned it is upto you if yu can bear the pain then you can go with medical management and if u cant bear the pain, then you should go for surgery, considering you other medical conditions as well.
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What Does The Following MRI Scan Report Signify?

with advancing age, our bone become weak and show signs of degeneration in the form of arthropathies; and to compensate that, the ligaments around the bones enlarge and thicken to prevent any injury. this is what s happening to your spine, the ligaments around the spinal canal have thickened and they are now compressing your spinal cord and nerves which may be the cause of your pain. since you already have had spinal surgeries, they are further aggravating your symptoms. surgical decision depends on how much pressure is there on your cord and how much pain you feel. in your report, i you didnt mention any damage to cord so i assume it is fine. and as far as your pain is concerned it is upto you if yu can bear the pain then you can go with medical management and if u cant bear the pain, then you should go for surgery, considering you other medical conditions as well.