Lee MarieParticipantNovember 3, 2019 at 9:45 amPost count: 1
Exam : MR – CERVICAL SPINE (C-) CPT 72141 –
Room Description : Dart Siem Espr 1.5
Technique : Sag STIR, Sag T2 3d space, Sag T1, Ax 3DT2*
GRE, Sag and Ax T2 reformats
Neck pain with bilateral upper extremity radiculopathy and numbness
for over 6 months.
Comparison is made with previous examination from December 2015.
Procedure: Noncontrast MRI cervical spine.
From the skull base to T4 was imaged. There is mild reversal of the
cervical lordosis. Vertebral height is maintained.
At C2/C3 and at C3/C4, no disc bulge or lateralizing disc herniation
At C4/C5, there is minimal posterior bulging of the annulus. Minor
uncovertebral joint hypertrophy is present without causing significant
At C5/C6, there is mild disc space narrowing with small anterior
marginal osteophyte formation. Disc space narrowing has slightly
progressed when compared to previous examination. Broad-based disc
osteophyte complex causes mild thecal impression contacting the
ventral cord. Disc osteophyte complex has slightly enlarged when
compared to previous examination. The dorsal subarachnoid space is
maintained. Uncovertebral joint hypertrophy results in severe right
and moderate left foraminal stenosis, unchanged.
At C6/C7, there is minimal posterior bulging of the annulus.
At C7/T1, no disc bulge or lateralizing disc herniation is present.
No intrinsic cord signal abnormality is identified. There is stable
patchy increased T2 signal again identified within the mid pons
possibly secondary to chronic small vessel ischemic change.
There is again diffuse enlargement of the thyroid gland, mildly
increased in T2 and STIR signal.
IMPRESSION:Noncontrast MRI cervical spine.
1. Mildly advanced cervical spondylosis again greatest at C5/C6. At
this level, there is a slightly enlarged broad-based disc osteophyte
complex contacting the ventral cord. No evidence for underlying cord
signal abnormality or limiting central stenosis. Uncovertebral joint
hypertrophy again results in severe right and moderate left C5-C6
foraminal narrowing with neural impingement.
2. Chronic diffusely enlarged thyroid gland with diffusely increased
T2 and STIR signal. Clinical and laboratory correlation is advised to
assess for possible thyroiditis.
3. Stable nonspecific mildly increased T2 signal within the pons
possibly secondary to chronic small vessel ischemic change.Donald Corenman, MD, DCModeratorNovember 9, 2019 at 8:38 amPost count: 8611
Your symptom discussion is not thorough enough to give me insight into your problems. Please see this section to better describe your symptoms. https://neckandback.com/conditions/how-to-describe-your-history-and-symptoms-of-neck-shoulder-and-arm-pain/
Dr. CorenmanPLEASE 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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