My primary (NP) called me and said the fusion looked good. I didn’t see your comments until after I spoke with her.I also thought it was interesting that there was no mention of the decompression. I sent a note to the NP asking her about it and she called the radiologist who then wrote an addendum to the report. See below. I am guessing the facet blocks and the nerve root blocks are still good diagnostic tests for me. I also wanted to share the data imaging review that the pain management doctor put together, from past MRI reports, when I was seeing him.
ADDENDUM TO ORIGINAL REPORT
MRI is superior to evaluate spinal canal and neuroforamina.
C2-C3: Tiny broad-based disc bulge. No significant bony spinal canal or neuroforaminal narrowing.
C3-C4: Tiny focal central disc bulge. No significant bony spinal canal or neuroforaminal narrowing.
C4-C5: Tiny focal central disc bulge. No significant bony spinal canal or neuroforaminal narrowing.
C5-C6: Evaluation is limited due to extensive streak artifact from orthopedic hardware. No significant bony neuroforaminal narrowing. Estimated mild bony spinal canal stenosis.
C6-C7: No significant bony spinal canal or neuroforaminal narrowing.
C7-T1: No significant bony spinal canal or neuroforaminal narrowing.
MRI lumbar spine 1/2/2020 report and film reviewed compared 2014 MRI–motion artifact. Back pain since September 2019. At L1 -2 there is minimal broad-based left paracentral disc protrusion. At L3-4 there is disc bulging with a broad-based left lateral disc protrusion producing mild left L3 and L4 nerve root impingement. There is a perineural cyst on the right. L4- 5 there is an annular tear on the left which is stable. L5- S1 there is disc bulge with facet arthropathy with small perineural cyst.
MRI thoracic spine 1/2/2020 report and film reviewed–indication is Hyperreflexia left greater than right lower extremity. Previously described small central protrusion C7-T1 is nearly resolved. Small central disc protrusion at T3-4 without cord impingement. At T5-6 is a perineural cyst. At T7-8 there is a focal right paracentral disc protrusion without cord impingement or central stenosis. There is also perineural cysts at T9-10 and T10-11
MRI cervical spine with and without contrast 11/4/2019 compared to 2018 MRI–Indication was numbness in hands and legs for 5 weeks: at C4-5 there is a small central disc protrusion which very minimally narrows the spinal cord. At C5-6 there is central and right paracentral disc protrusion and increase indentation on the ventral cord with mild to moderate narrowing of the canal. C6-7 there is no disc herniation. C7-T1 there is a new shallow left paracentral disc protrusion which effaces the ventral see CSF and very minimally narrows the cord. Postcontrast images demonstrate no abnormal enhancementof the cord
MRI cervical spine 10/26/2018–patient with neck pain rating down left arm since motor vehicle accident August 2018–broad-based central and right paracentral disc protrusion at C5-6. See 7 T1 there is a 6 mm perineural cyst on the left