MRI Results Interpretation

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  • Shanabarge
    Participant
    Post count: 1
    #24647 |

    Hi Dr. – I have recently received my MRI results and I am hoping you can translate this for me. I have had previous surgery on my neck and I am experiencing numbness down my arm and hand. The report is as follows. Thank you for your help.

    Findings:
    C3-4: Mild posterior disc bulging measuring .2 cm mildly indents the thecal sac without cord deformity. Uncovertebral joint hypertrophy cause mild foraminal narrowing on the left.

    C4-5: Right para midline disc extrusion is present measuring approx. .7 x .3 x .5 centimeters. Disc material effaces thecal sac and causes mild ventral cord deformity. Uncovertebral joint and facet hypertrophy cause is mild to severe foraminal narrowing on the left and moderate foraminal narrowing on the right.

    C5-6: Status post anterior fusion without center canal compromise.

    C6-7: Posterior dis osteophyte measuring .4 cm effaces thecal sac and causes mild ventral cord deformity. Uncovertebral joint hypertrophy cause mild foraminal narrowing left. Right foreman is patent

    Impression:
    Straitening of cervical lordosis. Alignment is otherwise maintained.
    Status post anterior fusion from C5-7 with anterior plate and screws in place. Bony bridging across the C5-6 level
    Mild ventral cord deformity at C4-5 and C-7. Indentation of the thermal sac at C3-4 without cord deformity.
    Moderate to severe foraminal narrowing on the left at C4-5. Moderate foraminal narrowing on the right at C4-5. Mild foraminal narrowing on the left at C3-4 and C6-7

    Dr. Corenman
    Moderator
    Post count: 5293

    You do not indicate what side your new symptoms are on (“I am experiencing numbness down my arm and hand”) so I will assume the symptoms are right-sided.

    At C4-5, you have a right sided herniation (“C4-5: Right para midline disc extrusion is present measuring approx. .7 x .3 x .5 centimeters. Disc material effaces thecal sac and causes mild ventral cord deformity. Uncovertebral joint and facet hypertrophy cause is mild to severe foraminal narrowing on the left and moderate foraminal narrowing on the right”). This could cause a C5 radiculopathy. symptoms would not radiate down the arm to the hand but more likely to the elbow. See https://neckandback.com/conditions/symptoms-of-cervical-nerve-injuries/ to understand the C5 symptoms.

    C6-7, you have no right sided pathology (“Right foreman is patent” means there is no obstruction).

    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.
    If this forum has helped you, please let Dr. Corenman know!

    mayasile1
    Participant
    Post count: 1

    Hi doctor my sister is having lower back pain for over a year now, and when she did an x ray the doctor said it could be a tuberculosis or lamber cancer or lamber spine compression we’re really confused and we need your help please and I have a copy of MRI , I can send it to you . Thanks

    Dr. Corenman
    Moderator
    Post count: 5293

    I don’t have the program yet to download images safely without potential viruses. I can give opinions to you personally thru what I call a “long distance consult” where you mail the images (on a DVD disc) to me as well as fill out all my new patient paperwork . I review all information and talk to you on the phone for 20 minutes. There unfortunately is a fee for this service. I would be happy to discuss for free through this forum.

    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.
    If this forum has helped you, please let Dr. Corenman know!

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