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  • Thompson74
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    Post count: 7

    Hello Dr C. It is your favorite problem child from Kansas!! I hope all is well in Beautoful Hawaii! You are missed here locally for sure! I can’t trust anyone after getting the quality care from you over those rough 3 years!!🥲. But I’m still here and trying to enjoy my grandbabies and life!

    My question is that I am having some problems still with my eating. Darn esophagus. But I had a head and neck MRI done last week to see if my vagus nerve was damaged and the MRI of my neck came back as follows:

    MRI CERVICAL SPINE WITHOUT CONTRAST: TECHNIQUE: Multiplanar/multisequence cervical spine protocol without contrast. INDICATION: Neck pain. Cervical radiculopathy. Vagus neuropathy. COMPARISON: Cervical spine radiographs from March 11, 2020

    FINDINGS: Skull Base: Mild degenerative changes of the atlanto-occipital articulations. Included Intracranial Structures: Normal
    Alignment: Straightening of the normal cervical lordosis. No spondylolisthesis.

    Vertebral Bodies: Interbody fusion and posterior fixation hardware at C3-C4. Disc instrumentation at C5-C6. ACDF at C6-C7. Osseous fusion of the C4-C6 vertebral bodies. Vertebral bodies appear normal in height.
    Marrow Signal: Expected background marrow signal. No aggressive osseous lesions.

    Intervertebral Discs: Marked degenerative endplate changes and disc height loss at C6-C7.
    At mild degenerative endplate changes and disc height loss at C7-T1.

    Spinal Cord: Artifact in the spinal cord at the C3 and C4 levels.

    Prominence of the central canal at the C6-T2 levels without an overt syrinx.

    Equivocal focal T2 hyperintensities in the bilateral posterior spinal cord at the C1-C2 level (series 100 image 4), although this appearance may be artifactual.

    Paraspinal Soft Tissues: Postsurgical changes of the posterior paraspinal soft tissues.
    Individual Levels: C2-C3: Facet arthropathy. No spinal canal or neural foraminal stenosis.
    C3-C4: Small dorsal endplate osteophytes. Artifact partially obscures the spinal canal. There appears to be mild spinal canal stenosis. No right neural foraminal stenosis. Artifact nearly completely obscures the left neural foramen.
    C4-C5: Artifact partially obscures the spinal canal and nearly completely obscures the left neural foramen. No spinal canal or right neural foraminal stenosis.
    C5-C6: Facet arthropathy with partial ankylosis of the facet joints. No spinal canal stenosis. Artifact partially obscures the right neural foramen and obscures the left neural foramen. There appears to be mild right neural foraminal stenosis.
    C6-C7: Small disc osteophyte complex. Facet arthropathy. No spinal canal stenosis. Artifact partially obscures the neural foramina. There appears to be mild to moderate bilateral neural foraminal stenosis.
    C7-T1: Minimal disc osteophyte complex with dorsal annular fissure. Facet arthropathy. No spinal canal or neural foraminal stenosis.

    Of course no KC Dr wants to see me so they have asked me to contact the amazing surgeon that fused me from c3-T1 for his expertise!!!

    Thompson74
    Participant
    Post count: 7

    Here is my scan from brain:

    MRI BRAIN WITHOUT CONTRAST: TECHNIQUE: Multiplanar, multisequence noncontrast brain protocol. Additional series acquired through the brain stem.

    INDICATION: Cranial nerve palsy. Dysautonomia. Esophageal motility disorder. Vagus neuropathy.

    COMPARISON: None

    FINDINGS: Parenchyma: Multiple FLAIR hyperintense foci in the supratentorial white matter, predominantly in a bifrontal distribution. No mass effect or acute infarct. No hemorrhage. Normal appearance of the brainstem.
    Parasellar: Normal appearance of the pituitary gland, suprasellar cistern, and cavernous sinuses.
    Extra-axial Collection: None
    Ventricular System: Normal. No hydrocephalus.
    Major Intracranial Flow Voids: Major vascular flow voids appear patent.
    Included Orbits: Normal.
    Paranasal Sinuses: No significant mucosal thickening. Included nasal cavity and nasopharynx: Unremarkable.

    Tympanomastoid Cavities: Mastoid and petrous air cells are clear.

    Osseous Structures and Soft Tissues: Postsurgical and degenerative changes of the imaged cervical spine. Normal appearance of the bilateral jugular foramina.

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