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MR CERVICAL SPINE, WITHOUT CONTRAST
Indication: Neck pain. Arm weakness right, greater than left. Chronic
symptoms, severe headaches, throat numbness, shoulder pain, neck pain.
Comparison: No comparison.
Technique: Multi-planar T1 and T2 weighted MR images of the cervical spine
were obtained without gadolinium.findings: There is normal, alignment of the cervical spine. Vertebral
body heights are maintained. Disc space heights are preserved. There is no
cord signal abnormality within the cervical spine. Marrow signal is within normal limits.
the cerebellar tonsils are located. Atlanto-dens interval is
maintained. Atlantooccipital joints are normal in appearance. Visualized
prevertebral soft tissues are within normal limits.
C2-C3: Central canal and foramina are patent
C3-C4: Mild facet arthropathy, worse on the right. No significant central
canal or foraminal narrowing.
C4-C5: Central canal and foramina are patent. Mild
facet arthropathy.
C5-C6: Central canal is patent, Minimal foraminal narrowing due to uncinate
spurring and facet arthropathy.
C6-C7: Small left paracentral extrusion creating mild central canal
narrowing, Left foraminal extrusion creates severe foraminal narrowing,
contacting the exiting left C7 nerve root. mild right foraminal narrowing
due to uncinate spurring and facet arthropathy.C7-T1: Central canal and foramina are patent
IMPRESSION
Impression: Left foraminal extrusion at C6-C7 creating mass effect on the
exiting left C7 nerve root. Mild narrowing of the central canal and right
foramen at C6-C7. Minimal spondylosis at the other levels, as described.this was 1 year ago june 6th
im borderline disabled having problems at my job, having problems driving, walking, using my arms. i currently dont have a dr. i had to ask for this mri because of problems for years…looks like they’ve finally got the best of me. i’ve worked in trades all my life, constant repetitive movements of my arms and neck overhead. in constant pain everyday. any help with advice would be appreciated. what would outlook be if left untreated? tyIf your symptoms are generated by the C6-7 level (“Left foraminal extrusion creates severe foraminal narrowing,
contacting the exiting left C7 nerve root. mild right foraminal narrowing due to uncinate spurring and facet arthropathy”, then with at least a year of symptoms and being “borderline disabled”, you should consider an ACDF. You need to consult a spine surgeon to get this process started.See https://neckandback.com/conditions/radiculopathy-pinched-nerve-in-neck/ and
https://neckandback.com/treatments/anterior-cervical-decompression-and-fusion-acdf/Dr. Corenman
PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books. -
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