Dr corenman, I assure you its not artifact. This same radiologist missed 3 herniations in my cervical spine, all with cord or thecal sack compression. My injuries oddly enough seem to be from taking severe blunt trauma to my mid back with incredible g forces and velocity being involved, in such a way that from the default angle my t spine looks fairly normal. 2 small herniations. The injuries only reveal themselves from a different angle. The avulsion of the anterior ligament is their. As is multiple compression fractures. My posterior portions of my vertebrae are in pieces, and the column has numerous fractures also. I would be more than happy to send you a copy of the report and the t spine mri. I myself have struggled to understand how or why I was so blatantly disregarded. This misread has steered everybody in the c spine direction. Although c5-c6 was a very focalized herniation, it was a central herniation. The foramina at c4-c5, and c6-c7 look worse than c5-c6 which was fused. I requested additional imaging before fusion surgery, ie ct myelogram, yet I was denied for whatever reason. You can’t even see my heart on the last image of the localizer sequence due to massive edema, and that was 1.25 months after the wreck. I’m ten months plus out and I still have an incredible amount of edema surrounding that area of my back with so many trigger points I lose track. If this is a “case of first impression” I would actually love to send you the mri and attached report.
Reply To: Re: Professional standards after neurologic deficits are noted-cervical