jrsigurl

Thank you for your response. I did receive a C-Spine report which I am hoping you can give an opinion as I believe these issues are a result of the sinus surgeries I had. It indicates the following:

Ossesous Structures: There is anterior subluxation of the right lateral mass of the vertebral body C2 relative to C1 measuring 1.3 mm. The left atlantoaxial joint demonstrates normal alignment. Vertebral bodies C2 through C7 demonstrate normal alignment. There is mild reversal of the normal cervical lordotic curve, which may reflect positioning, muscle spasm or spondylotic changes. There is disc height loss with endplate marrow changes at the C5-C6 level, consistent with degenarative disc disease. To a lesser extent, there is also degenerative disc disease at the C4-5 and C6-7 levels.

C2-3: At this level, there is a minimal 1.9 mm broad based disc bulge, which minimally encroaches on the anterior subarachnoid space. No significant central canal stenosis or neural foraminal encroachment is apparent at the C2-3 level.

C3-4: At this level there is a minimal 1.0 mm broad based disc bulge which appears to nearly abut the anterior cervical cord and results in mild central canal stenosis. The neural foraminal are patent bilaterally at the C3-4 level.

C4-5: At this level there is a mild 2.50 mm broad based disc bulge which abuts the anterior cervical cord and results in mild central canal stenosis. Primarily as a result of unconvrtebral joint spurring. There is mild left neural foraminal encroachment at the C4-5 level. The right neural foramen is patent at this level.

C5-6: At this level there is a minimal 3.1 mm broad based disc bulge, ecentric to the left which nearly abuts the anterior cervical cord. There is mild ligamentum flavum hypertrophy with overall mild central canal stenosis. Primarily as a result of unconvertebral joint spurring, there is moderate left neural foraminal encroachment at the C5-6 leel. The right neural foramen is patent at this level.

C6-7: At this level there is a minimal 4.4 mm broad based disc protusion, which abuts the anterior cervical cord. There is mild ligamentum flavum hypertrophy with overall mild to moderate central canal stenosis. Primarily as a result of unconvertebral joint spurring, there is moderate bilatural neural foraminal encroachment at the C6-7 level.

C7-T1: At this level there is a minimal 2.0 mm broad based disc bulge, which encroaches on the anterior subarachnoid space. No significant central canal stenosis is apparent at this level. Primarily as a result of uncovertebral joint spurring, there is mild bilateral nueral foraminal encroachment at the C7-T1 level.

Spinal Canal and Contents: The cervical cord demonstratoes intrinsically normal signal.

Adjacent strucutres: There is partial visualization of the maxillary sinuses. There is extensive mucosal thickening withing the right maxillary sinus, consistent with severe sinusitis. There is also a 0.9 cm fluid level within the dependent portion of the left maxillary sinus, consistent with acute sinusitis. The inferior aspect of the sphenoid sinus is visualized and also demonstrates mucosal thickening.

Thank you for your time,

Jrsigurl