Viewing 6 posts - 7 through 12 (of 15 total)
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  • mohsinaliasdf
    Member
    Post count: 11

    hello doctor i just had my mris done for the cervical thoracic and lumbar spine.

    here are the reports

    LUMBAR SPINE
    History: Lymes disease. Rheumatoid arthritis. Pain.

    Multiplanar multisequence noncontrast MRI of the lumbar spine. Multiple images degraded by motion artifact. No priors.

    Findings:

    There is no marrow replacement process, compression fracture or spondylolisthesis. No evidence of intrathecal, paraspinal or retroperitoneal mass.

    L4-L5 and L5-S1 disc bulges are present. No herniated nucleus pulposus, central canal or neural foramen stenosis.

    Impression:

    L4-L5 and L5-S1 disc bulges. No herniated nucleus pulposus or stenosis.

    cervical spine;

    History: Lymes disease. Rheumatoid arthritis. Pain.

    Multiplanar multisequence noncontrast MR the cervical spine. CSF pulsation phenomenon is present. No priors.

    Findings:

    Visualized intracranial contents. Unremarkable. There is no definitive evidence of altered intramedullary signal, intrathecal or paraspinal mass. There is no marrow replacement process, compression fracture or spondylolisthesis.

    Straightening of the cervical lordosis is present. There is a shallow C6-C7 disc bulge. No herniated nucleus pulposus, central canal or neural foramen stenosis.

    Impression:

    1. Straightening of cervical lordosis may reflect muscle spasm.

    2. Shallow C6-C7 disc bulge. No herniated nucleus pulposus or stenosis.

    Thank you for the courtesy of this referral.

    thoracic spine:

    Clinical History: Back pain.

    Multiple MRI tomographic scans of the thoracic spine were performed in the coronal, sagittal and transaxial planes utilizing multiple pulse sequences. The study reveals all thoracic vertebral bodies are maintained in height. There is no evidence of fracture, marrow replacement process, spinal stenosis or intrathecal mass.

    The dorsal cord is seen segmentally and is unremarkable. There are no protrusional disc bulges or herniations demonstrated.

    Impression:
    Normal MRI of the thoracic spine.

    Thank you for the courtesy of this referral.

    please take a look at them

    im very very confused because my middle back is the one that hurts the most and as i told you earlier that the symptoms i have are worst in the thoracic spine. As i was getting the mris done i was wondering that the side of my back hust not the middle so how can the spine cause pain onto the sides. i also have an infectious disease with arthritis , suppose i had an infection in the back would the mri show it or not. do you suggest i also get a ct scan .
    this pain is unbearbale for me now i dont know whether i would need any type of surgery or procedure to get rid of this.
    ill wait for you reply

    kindly thanks.

    mohsinaliasdf
    Member
    Post count: 11

    Hello Dr corenman I’m waiting for your replyi realise that ur busy but please help . I posted my MRI results . The thing is that the pain is unbearable and I don’t know if I should get surgery. the MRI of the cervical should cervical lodosis .is there a way to fix it ? the symptoms that I have can they all be just from the bulging discs or is there something really more. Also I was wondering if you can view the MRI CDs online

    MRI4U
    Member
    Post count: 2

    First off what do you know about MRI information? What is the basis for your statement? Do you know about the ACR and what they do? Do you know that there are many Neuro and Ortho surgeons that own Stand Up MRI Scanners? Do you know that approx 50% of lower back surgeries are unsuccessful? Last, do you know that sometimes patient positional MRI trumps field strength.

    Many people have had surgury based on the information from a 0.6 tesla MRI and the in plane resolution has been proven to be adequate for diagnosing a plethora of diseases and disorders. Please elaborate on your answer.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    The quality of the MRI is based upon the strength of the magnet and the talent of the technician. Think of images produced from the MRI as pixels. In a low strength magnet, there are fewer pixels and the computer has to “smooth over” the information yielded by fewer pixels. The will “volume average” these points of information and “wipe out” any findings that are subtle.

    Time after time, i find that these lower field strength magnets will miss a lateral recess stenosis or a foraminal disc herniation. Also, some large disc herniations are underestimated and small disc herniations can be overestimated.

    I would hope a spine surgeon with a 50% success rate would be out of business in a short period of time.

    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.
    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    Your MRI findings are relatively normal. Realize that this reading is in the eyes of the radiologist and interpretation can be erroneous occasionally as the radiologist does not have the benefit of the patient contact and the physical examination. The spine surgeon will “know what to look for” while the radiologist might miss a subtle finding.

    Nonetheless, If we are to accept these findings, your pain, at least in your thoracic spine does not originate from degenerative changes of the discs. Facet mediated pain will generally not show up as a finding on the MRI so those structures have not been ruled out. However, I would suspect that the Lyme disease is contributing to your pain burden.

    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.
    MRI4U
    Member
    Post count: 2

    MRI is based on a voxel which is filled with 3 dimensional information. The American College of Radiology (ACR) dictates the minimum in plane resolution, slice thickness and Signal to Noise Ratio (SNR) needed to accurately diagnose specific disease processes specific to the area of interest.

    All Stand Up MRI Scanners meet these criteria and are set in place by the manufacturer. If an independent owner/operator chooses to manipulate the protocol and sacrifices image quality you can’t say that the scanner is capable of producing good images.

    I would love to speak with you regarding your thoughts on this. I am we’ll trained in MRI physics and cross sectional anatomy. Please feel free to contact me.

    Regards,

    Rob

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