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  • Jonesy
    Participant
    Post count: 17

    Hi Dr corenman. I was wondering what “but, i believe this is artifact” means.
    All of my past MRIs say way different things.

    INDICATION: Radiculopathy, cervical region, bilateral upper extremity pain and
    numbness. Left shoulder pain for two months.

    COMPARISON: 01/13/2018.

    TECHNIQUE: Routine scanning of the cervical spine was performed before and after
    the intravenous administration of gadolinium-containing contrast material.

    FINDINGS: The study appears unchanged. There has been a previous fusion from C4
    through C6 with a moderate amount of artifact. There is a tiny central disc protrusion at
    C2-3 without compression of neural elements. There is a moderate disc bulge at C3-4
    with slight narrowing of the neural foramina. The fusion appears solid. The spinal canal
    appears widely patent, as do the neural foramina at those levels. There is a slight disc
    bulge at C6-7 without compression of neural elements. The discs are otherwise normal.
    There is an area of abnormal signal at the C5 level in the cord, but I believe this is
    artifact, as it is seen only on some of the sagittal views, and is not convincing on the
    axial views or some of the other sagittal views. The bones and paraspinous soft tissues
    otherwise appear normal. The craniocervical junction appears normal. There is no
    abnormal enhancement.

    IMPRESSION: The study appears unchanged. There are disc bulges at C3-4 and C6-7.
    There is a tiny central protrusion anteriorly at C2-3 without compression of neural
    elements. The fusion from C4 to C6 appears solid. The study is otherwise negative. No
    new abnormalities are identified.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8660

    When you have had prior cervical surgery (ACDF), typically a metal plate is used to stabilize the surgery. Metal artifact is quite common with an MRI as the scan is magnetic in nature and a metal plate can distort the images.

    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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