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  • Abbeygirl
    Post count: 40

    Hi Dr I have a lot of neck pain and lower back just had Mri done was wondering if you could please explain the report to me please
    TECHNIQUE T1 AND T2 sagittal T2 axial and Merge axial sequences through the cervical spine were obtained
    FINDINGS There is loss of the normal cervical lorotic angle which is most likely due to muscle spasm
    No pathological marrow infliltration identified
    At the base of the peg there is an apophysis which appears to be fused
    No inherent cord signal abnormalities identified The craniocervical relationships are preserved
    C2/3 C3/4 No significant disc bulging herniation or exit forminal stenosis identified
    C4/5 A broad based disc bulge is identified There is some disc osteophytic encroachment on the left sided exit foramen the right sided exit forman is patent
    c5/6 c6/7 c7/T1 No significant disc bulging herniation or exit foraminal stenosis identified
    The vertebral arterial flow voids are preserved and symmetrical The paraspinal musculature defines normally.The lower brainstem and upperb thoracic cord demonstrate no inherent signal abnormalities
    Comment Minor disc bulging with no significant exit foraminal stenosis or spinal canal compromise demonstrated.
    Technique T1 and T2 sagittal T1 and T2 axial and post Gadolinium T1 fat sat sagittal and axil sequences were obtained
    Findings There is evidence of disc dessication at L1/2 and L5/S1 in keeping with degenerative disease.
    Endplate marrow changes are demonstrated at L5/S1 andL1/2 There is an anterior inferior schmorls node in the inferior endplate of L1
    L1/2,L2/3 No significant disc bulging herniation or exit foraminal stenosis identified
    L3/4 There is a left paracentral disc bulg and there is some encroachment on the left sided exit foramenThe right sided exit foramen is patent No central spinal canal compromise identified
    L4/5 A broad based annular bulge is noted There is no exit foraminal stenosis No definite annular tear identified there is facet joint degenerative change
    L5/S1 loss of volume and an annular tear with a central disc protusion is noted There is encroachment on the central spinal canal there is also bilateral encroachment on the exit foramina following the adminastration of the intravenous gadolinium there is evidence of exiting neural enhancement This appears to be quite prominent and a neuritis must be considered There is no definite cauda equina enhancement The cauda equina were noted to lie discreately within the thecal sac with no clumping or marigination to suggest an arachnoiditis
    THE Conus is in satisfactory location
    There is no evidence of perithecal fibrosis but some enhancement in the region of the laminectomy was demonstrated
    Comment Evidence of previous surgery at L5/S1 with loss of disc volume but an annular tear and broad base disc bulge with some exit foraminal narrowing are identified There is some neural enhancement detected The possibility of a neuritis must be considered clinical correlation is advised There is enhancement in the surgical tract extending posteriorly to the skin surface
    That is the report Dr i would not have a clue what that means but i am very sore in my neck and hands and my lower back as well as calf muscles in my bum as well just seem to ache all the time thanks for this service doctor

    Donald Corenman, MD, DC
    Post count: 8507

    You have to remember that the MRI does not always correlate with the symptoms. You could have a large disc herniation compressing a nerve root and have absolutely no arm pain. I will interpret what is on the MRI and what symptoms that could be caused by the results.

    According to the radiologist, the only problem he or she noted on your MRI of the cervical spine is a broad based disc bulge with foraminal stenosis of the left exiting nerve root. This could cause central neck pain and shoulder pain with some arm pain and numbness on the left. The shoulder and arm pain would be worse with looking up and improved with putting chin on chest.

    The lower back has more degenerative changes. You have very degenerative discs at L5-S1 and L1-L2. These can cause significant lower back pain at the belt line and at the highest area of the lower back. Your L5 nerves “light up” with gadolinium which outlines inflammation and you have had previous surgery here. Either the nerves were previously injured before the prior surgery or the current compression is actively injuring the roots. This would cause buttocks pain and posterior leg pain to the foot.

    At L3-4, there is a left sided compression of the root. This could cause buttocks pain on that side with radiation into the anterior thigh.

    Dr. Corenman

    Post count: 40

    Hi Dr thanks for your answer to my MRI report you are just about spot on where my pain is any way my next question is a bit hard for you without seeing me or my films anyway here i go my I took my MRI report to my GP and he read the report and said there is nothing to worry about anyway he did not do a physical check on anything also he did not look at the films not trying to say that he does not know what he is doing but does the report mean that there is nothing wrong because doctor i am in a lot of pain my back aches and my right thigh is numb my left calf achesmy toes go numb but maybe i have to try and harden up but i am really sore maybe i am going crazy or it is a bad dream sorry doctor but my main question is. Does that report say thati should be find thanks again doctor for this service

    Donald Corenman, MD, DC
    Post count: 8507

    You need a good spine surgeon to look over the results of your MRI and perform a thorough history and physical examination to determine what your diagnosis is and what needs to be treated.

    Dr. Corenman

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