[Busymom348]

#27866

I am in constant pain throughout my entire body unable to turn my head, I have headaches everyday, spasms, weakness, numbness in my hands and at times I get the worst electrical shock type of feeling from my neck up to my forehead temple. This is my latest MRI report and I was wondering what your thoughts on it are. Thank you for your time and any information is greatly appreciated.

MRI-3T CERVICAL SPINE NON CONTRAST

HISTORY: M54.2 Cervical/ Neck Pain M79.602 Left arm pain R20.2 Upper
and Lower Extremity Pins and Needles R20.0 Numbness Lower/Upper Extremity
M43.6 Torticollis M62.81 Muscle weakness M48.02 Spinal stenosis
cervical M43.12 Spondylolithesis cervical

CLINICAL HISTORY: 52-year-old female with neck and left arm pain.

TECHNIQUE: Sagittal and axial images of the cervical spine were obtained on a 3 Tesla MR
scanner.

COMPARISON: A previous MR of the cervical spine dated 8/18/2016 was available for review.

FINDINGS: No fractures, lytic, or blastic disease is demonstrated. Multilevel degenerative
disease is present and is associated with a reversed curve in the cervical spine. The
thecal sac is draped over the reversed curve as is the cervical spinal cord. The cervical
spinal cord is normal in signal. No abnormal intradural filling defects are demonstrated.

At C2-3 the canal and foramen are clear.

At C3-4, the right foramen is mildly stenotic. The left foramen and canal are clear.

At C4-5, the height of the disc is relatively preserved. However, advanced degenerative
facet arthritis on the left side is present and is associated with a grade 1 degenerative
spondylolisthesis of C4 anteriorly on C5. In addition, degenerative disc/osteophyte
project into the left side of the ventral epidural space and the left intervertebral
foramen. A ventral epidural defect on the thecal sac is present on the left side and
slight flattening of the left side of the cord is also present. A moderate left foraminal
stenosis is present. Degenerative disc/osteophyte also project into the right lateral
recess of the spinal canal and appear to be posteriorly displacing the exiting right C5
root as it enters the right C4-5 foramen.

At C5-6, the disc is greatly reduced in height. Degenerative disc/osteophyte cause a minor
ventral epidural defect on the thecal sac and slight flattening of the right side of the
spinal cord. The degenerative changes also cause a high-grade right foraminal stenosis and
a moderate left foraminal stenosis.

At C6-7, the disc is greatly reduced in height. Degenerative disc/osteophyte cause a
minimal ventral epidural defect on the thecal sac and a moderate right foraminal stenosis.
Minimal stenosis of the left foramen is apparent.

At C7-T1, the canal and foramen are clear.

IMPRESSION:

Multilevel degenerative disease. No change since the prior exam.

[Busymom348]

#27867

My MRI IN 2016

MRI-3T CERVICAL SPINE W/O CON

HISTORY: M54.2 Cervical/ Neck Pain M79.602 Left arm pain R20.2 Upper and
Lower Extremity Pins and Needles R20.0 Numbness Lower/Upper Extremity
M43.6 Torticollis M62.81 Muscle weakness

COMPARISON: None available.

TECHNIQUE: MRI of the cervical spine was performed with multiple sequences performed in
sagittal and axial planes on a Tesla 3.0 ultra high-field wide-bore scanner.

FINDINGS:

Vertebral body style=’background-color: #F9F6F6;’ heights: Maintained.

Alignment: There is straightening of the normal cervical lordosis.

Marrow signal: Preserved.

Spinal cord: Normal in signal and caliber.

Visualized posterior fossa: Unremarkable.

Prevertebral soft tissues: Note is made of an 8 mm left thyroid lesion

Discs: There is degenerative disc disease with disc space narrowing endplate changes at
C5-6 and C6-7

C2-3: There is no significant posterior disc abnormality, spinal canal or foraminal
stenosis.

C3-4: There is right uncovertebral arthropathy and facet hypertrophy compressing the
exiting right C4 nerve roots

C4-5: There is left uncovertebral arthropathy and facet hypertrophy compressing the
exiting left C5 nerve roots

C5-6: There is disc osteophyte complex and uncovertebral arthropathy resulting in
foraminal narrowing compressing the exiting C6 nerve roots

C6-7: There is disc osteophyte complex resulting in mild central canal stenosis.
Uncovertebral arthropathy compresses the exiting C7 nerve roots

C7-T1: There is a small central disc herniation without central canal stenosis or
foraminal narrowing

IMPRESSION:

Straightening of the normal cervical lordosis. Mild central canal stenosis at C5-6 with
foraminal narrowing compressing the exiting bilateral C6 nerve roots

Mild central canal stenosis at C6-7 with foraminal narrowing compressing the exiting C7
nerve roots

Right C3-4 foraminal narrowing compresses the exiting C4 nerve roots

Left C4-5 foraminal narrowing compresses the exiting C5 nerve roots

Additional milder degenerative changes as above
ICD 10 –
Spinal stenosis, M48.02
Other biomechanical lesion, M99.81
Disc herniation C4-5, C5-6, C6-7, M50.22

[Donald Corenman, MD, DC]

#27889

Your symptom description is limited (“unable to turn my head, I have headaches everyday, spasms, weakness, numbness in my hands and at times I get the worst electrical shock type of feeling from my neck up to my forehead temple”). See https://neckandback.com/conditions/how-to-describe-your-history-and-symptoms-of-neck-shoulder-and-arm-pain/ to describe symptoms.

You could have many different nerve roots that are involved. These include C4 right (C3-4: There is right uncovertebral arthropathy and facet hypertrophy compressing the exiting right C4 nerve roots), C5 left (C4-5: There is left uncovertebral arthropathy and facet hypertrophy compressing the exiting left C5 nerve roots), C6 bilaterally (C5-6: There is disc osteophyte complex and uncovertebral arthropathy resulting in
foraminal narrowing compressing the exiting C6 nerve roots) and C7 bilaterally (C6-7: There is disc osteophyte complex resulting in mild central canal stenosis. Uncovertebral arthropathy compresses the exiting C7 nerve roots).

You could also have neck pain from severe degenerative disc disease (“The thecal sac is draped over the reversed curve, At C5-6, the disc is greatly reduced in height. At C6-7, the disc is greatly reduced in height”)

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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