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  • debfarr
    Member
    Post count: 3

    Good morning Sir if you could please interrupt and explain my MRI to me I would greatly appreciate it. I am in severe pain everyday from the back of my skull on the right side shoulders and arm with numbness and loss of grip strength in forearm and hand. I have some minor pain and numbness on left side but right side predominant.

    TECHNIQUE: MRI of the cervical spine was preformed using TI and T2 weighted sequences in multiple planes.

    FINDINGS:Paraspinous soft tissues: Normal

    Alignment: There is loss of normal cervical lordosis. Minimal retrolisthesis of C5 vertebra over C6 is seen.

    Vertebrae: Mild degenerative endplate changes and Schmorl’s nodes are seen at few levels. Marginal osteophytes are seen at multiple levels. The certebral body heights are normal.

    Discs C3-C3 & C3-C4 & C4-C5 & C6-C7 are dessicated and reveal mild diffuse bulges. They indent the anterior subarachnoid space without any significant central canal or neural foraminal narrowing. The bulges measure approx 2 mm in size.

    Disc C5-C6 is dessicated and reveals a small broad based posterior herniation. It indents the anterior subarachnoid space, both C6 nerve roots and causes mild narrowing of the central canal and neural foramina bilaterally. The herniation is approx 4 mm in size.

    C7-T1 is dessicated and is otherwise unremarkable

    Mild generalized facetal and uncovertebral arthropathy is detected.

    Spinal Cord: Normal in thickness and reveals normal signal intensity. No focal area of abnormal signal is detected within the cord. No intraspinal mass lesion is detected.

    Impression:

    1. small broad based posterior herniation of C5-C6 disc causing mild narrowing of the central canal and neural foramina bilaterally. Herniation measures approx 4 mm in size.
    2. Mild diffuse bulge of C2-3 to C4-5 and C6-7 discs without any significan central canal or neural foraminal narrowing. These bulges measure approximately 2 mm in size.
    3. Mild generalized facetal and uncovertebral arthropathy.
    4. Minimal retrolisthesis of C5 vertebra over C6.

    Thank you for your help in understanding this. Deb

    Donald Corenman, MD, DC
    Moderator
    Post count: 8468

    The MRI is just one part of the diagnosis. Many times, MRI findings do not relate to actual symptoms. See the section under “Conditions”- “How to describe symptoms” to understand how to explain what you are experiencing.

    The MRI notes multiple levels of degenerative disc disease. This may or may not cause neck pain. The C5-6 level is much more worn out than the others and has a central disc herniation which apparently does not compress the spinal cord. There is some narrowing of the foramen which could cause arm pain if the head if extended (bent backwards).

    Dr. Corenman

    debfarr
    Member
    Post count: 3

    Thank you sir I appreciate the information I am also having trouble swallowing and am starting to have some arm pain on the left side also now. I also cant turn my head to right only minimal before the pain starts I am able to turn it more on the left side this is causing a problem because I cant look over my shoulder for driving

    Donald Corenman, MD, DC
    Moderator
    Post count: 8468

    Swallowing difficulty would not be related to your cervical spine. The arm pain could be related. The next step is a consultation with a spine specialist.

    Dr. Corenman

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