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radiology report? which is the correct one

baffledbbaffled Posts: 375
edited 06/11/2012 - 8:37 AM in Neck Pain: Cervical
Just got the Radiology report of Cervical MRI - most is unremarkable, exceptions: 1) c56 Disk osteophyte complex mildly effaces the anterior subarchnoid space, 2) Degenerattive changes most severe at c56, 3) alignment is anatomic aside from slight straightening of normal cervical lordosis

The interesting part is a CT scan from June 2009 states Disc space narrowing and moderate bulge at c56

and lastly a cervical mri from 2008 that states a posterior dis/osteophyte complex at c56.

And now this all mean nothing since the 2 whiplash injuries on the 9th and 10th...and some really bad reflex tests with doc on the 16th.

So where is are my bone spurs anterior or posterior, is there a disc bulge/herniaton or not?

Does pushing on the subarchnoid space create pain? Could there be a annual tear, that isn't seen - just not certain what to do or believe. My pain is just so incredible and constant, is this all just my muscles or is there something anatomically causing pain?

I know that most of think we are pretty tolerant of pain, and I have had some real pain in my life, kidney stones, posterior child birth, took the carpel tunnel to the point that I couldn't cut a steak without stopping to shake my hand back to life....

know you all aren't docs - but what is your opinion?


  • I guess first question I have is where these taken at different locations, where they didn't have the benefit of looking at the previous one. Although, that shouldn't matter, it does sometimes. Hopefully, you have a doctor whom is reading from the actual films and not the reports themselves. I would be sure on your follow-up to take the films and have your doctor explain them to you. Now I always get them loaded on CD's and have the same program the docs use and look at them on my computer. I can really read them, but I can see the differences in them. Then I have the doctor explain them to me.

    AS far as pain from whiplash it can be very hard to recover from. Some whiplash can take months to over come. With the new injury, you may need some physical therapy to get you going again. Keep us posted what you hear from the doctor.
  • Obviously I am not a radiologist, but I did want to point out that you can't really directly compare a MRI to a CT scan since some things will stand out more on one type of imaging than the other. Even so, I do not necessarily see the two reports you mentioned to be in direct opposition to one another. I think the same osteophytes could be pushing on the anterior subarachnoid space but still be located posteriorly. Also, "degenerative changes in the disc at C5-6" could be referring to what was called a "bulge" in the earlier report. Also, it is possible that the bulge has healed by now and only shows up as degenerative changes many months later. I'm only guessing here... @) As we all know, imaging reports are only as meaningful as the person interpreting the films.

    I don't understand the two whiplashes you mention. Did this happen to you twice, so close together?

    I would imagine you have a great deal of swelling that would create pressure on any structural problems you already had. I hope you are seeing a spinal specialist and will receive appropriate treatment, and that you are feeling better soon.

  • there are from differnt locations...it is just surprising the differences in reads...from posterior to anterior that seems quite a difference....I do understand that one is seeing anything touching my spinal cord, which is the biggest factor, but it does seem strange.

    I am scheduled for another round of PT - but the doctor wanted the new meds to begin before i started up again. I just got the celebrex today...so we shall see

  • unfortunately, but true - I was in a sizable truck accident of the 9th - hit head on by a SUV with a boat in tow...and then on the 10th, I was at Cedar Point with my children (we had the trip planned for months with 2 other families- and couldn't cancel).

    I made a "only a mother" could make decision....went on the dodgems with my son. All the older kids went onto the Millenium, and I entertained him for 2 hours, he was riding everything by himself. I thought I could protect myself...but as I leaned over to help him, i was hit from behind. I really think I hurt myself worse on the dodgems then in the car accident. I heard a lot of clicking as my head flew forward and back. I wasn't holding on like during the car accident.

    I was already scheduled to see my doc so we moved that date up. When he did the usual reflexs tests, my left foot, and some finger ones "failed". And usually I have done better with this. I see him again in Nov.

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