niki

Understood, that’s interesting!
If I have a trapped nerve is it possible they didn’t see it on the MRI? Is my CSpine so bad that would cause the shooting pains down my left arm and cause these headaches?

They just don’t known where to go anymore so I feel stuck with this pain and numbness in my arm, temperature changes and grip strength. Multiple of my other MRI mention sciatic issues but I’m not sure where to go diagnositically to get better. Afraid to ecersize because sometimes it kills all feeling in that arm.

As a patient I’d just love an injection somewhere so I don’t have back spasms 80 percent of the month.. Or just to know a path forward. Thanks for all your support your ideas helped me get this far, I may come fly to you or ask about a true MRI interpretation if that exists but I’m honestly looking to resolve issues locally if possible.

Here’s another copy of my CSpine results so you don’t have to scroll.

PROCEDURE COMMENTS: MRI of the cervical and thoracic spine was performed without IV contrast at 3 Tesla. The following MR sequences were obtained: 3 plane localizer SSFSE, sagittal T2, sagittal T1, sagittal STIR, axial T2, and axial MERGE.

FINDINGS:

Localizer image: No visible abnormality.

Alignment: Straightening of the normal cervical lordosis.

Bone marrow: Normal for age. Vertebral body heights are preserved.

Discs: Disc desiccation and mild disc height loss from C4-C7. Thoracic disc heights are preserved.

Vertebrae: Multi-level degenerative changes as follows:

Cervical spine:

C2-C3: Mild facet hypertrophy. No significant neural foraminal or spinal canal stenosis.

C3-C4: Left asymmetric mild uncovertebral and facet hypertrophy which result in mild left neural foraminal stenosis. No significant spinal canal stenosis.

C4-C5: Broad-based posterior disc osteophyte complex, left asymmetric mild uncovertebral and facet hypertrophy which result in partial effacement of the ventral thecal space without significant spinal canal stenosis. No significant neural foraminal stenosis.

C5-C6: Small posterior central disc protrusion, mild uncovertebral and facet hypertrophy which result in near-complete effacement of the ventral thecal space with mild indentation of the ventral spinal cord and mild spinal canal stenosis. No significant neural foraminal stenosis.

C6-C7: Broad-based posterior disc osteophyte complex, mild uncovertebral and facet hypertrophy which result in partial effacement of the thecal space without significant spinal canal stenosis. No significant neural foraminal stenosis.

C7-T1: Mild facet hypertrophy. No significant neural foraminal or spinal canal stenosis.

Thoracic spine: No significant degenerative changes, neural foraminal or spinal canal stenosis.

Cord: Normal.

Extra-vertebral soft tissues: Normal.

Visualized brain: Normal.

Visualized chest: Normal.

Additional comment: None.

There is no component information for this result.
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I got the MRI of the hip and good news I suppose, no sacroiliitis.

I drove 2 hours to a Rhuem and he said he didn’t think it was AS but I’m still having some very serious pains, pelvic floor issues, burning and pain in my hands and feet and the dizziness and back spasms.

He didn’t want to run any other tests but here are the SI findings. He also said I had “osteoarthritis of the cspine?” Which I don’t know where to turn next…

Impression
IMPRESSION:

1. Normal MRI appearance of the sacroiliac joints without significant joint space narrowing, cartilage loss, or erosive change.

2. Abnormal high T2 signal in the bilateral sciatic nerves proximally. Correlation with sciatica type symptoms is recommended. A lumbosacral plexus neurogram could be considered to further evaluate if clinically warranted.

I have personally reviewed the images for this examination and agree
with the report transcribed above.

Signed”Final report”

Narrative
MR SI Joints wo: 2/8/2020 12:30

CLINICAL HISTORY: 33 years of age, Female, Possible axial spondyloarthropathy..

COMPARISON: MRI lumbar spine 11/14/2019, MR hip 11/7/2019

PROCEDURE COMMENTS: Multiplanar, multisequence imaging of the sacroiliac joints was performed at 3T without contrast.

FINDINGS:

Fluid: No visible joint effusion. Small volume of fluid in the pelvic cul-de-sac, likely physiologic.

Bones and cartilage: The sacroiliac joint spaces appear symmetric, and the cartilage appears intact. No significant erosive change. No significant joint space narrowing. No significant degenerative change of the lumbosacral junction or visualized lower lumbar spine.

Mild degenerative changes of the right hip.

Bone marrow signal is within normal limits for age.

Ligaments and tendons: No significant abnormality within the field of view.

Nerves and vessels: Symmetric abnormal high T2 signal within the bilateral sciatic nerves.

Additional findings: 2.6 x 3.6 x 2.8 cm right adnexal cystic structure most likely a dominant follicle arising from the right ovary. Retroflexed uterus with a 0.8 x 0.6 x 0.3 cm oval-shaped T2 dark structure adjacent to or arising from the uterus anteriorly. This appearance and the location suggests either a small uterine fibroid or possibly a small endometrial implant.

0.9 cm sized left-sided Tarlov’s cyst at the S3 level is incidentally noted.

Best and Happy Valentines Day!

Niki

I have an appointment Friday, thanks again.. With your help I’m more informed and can ask better questions.

Lastly before I go, may I ask what a “diagnostic hip injection” is?

Kind regards