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Understanding MRI please hep

bkbammabbkbamma Posts: 1
edited 06/11/2012 - 8:43 AM in Neck Pain: Cervical
I have Intracranial Hypertension,currently being treated via LP Shunt that is gravitationaly controlled. I also have Chiari I Malformation for which I went through decompression surgery last Summer. I NS's PA recently ordered a cine MRI for Brain and Neck. This was because I have yet to have relief of pain since surgery. In fact now I suffer constantly from severe neck,shoulder,and arm pain that also constantly goes numb for periods of time and then has a burning sensation when "waking up" from numbness. I am trying to be brief... I recieved the radiology report today and it says alot of things I am not clear on..please help me understand. Cerv Spine says"scattered perineural cysts in the foraminal regions bilaterally C5-C6,C6-C7 level to Right & C7-Ti bilaterally.Also says scattered non-enlarged cervical lymph nodes noted bilaterally.
Brain findings says Min Hyperintense T2 signal changes in frontal white matter bilaterally..cine flow study shows Biphasic CSF flow to Anterior to brainstem. But No definite Biphasic CSF flow seen posterior to Cerebellum on the aquuired sequences.
Could someone PLEASE help me understand this...According to the PA "he looked at MRI and nothing seems wrong"....even I can see there is something there? Should I contact my Dr?
Thank you ever so much!
confused in Oregon
Beverly Kaney


  • dilaurodilauro ConnecticutPosts: 9,856

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    No one on this site is qualified to read or interpret any MRI images or reports. That needs to be done only by trained medical personnel.

    If you are not comfortable or confused with the PA's reading, then I would definitely contact your doctor. Who ordered the MRI?

    I know in CT, PA's can not write prescriptions, it has to come from a doctor.

    Poke around this site, and you will found many members who have pain, yet their MRI's do not indicate any serious problem. MRI's are important, but they are only one tool that can be used in diagnosing a spinal problem. It is probably the most used tool, but there are others.
    Ron DiLauro Spine-Health System Administrator
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • Bev this stuff is way different that what you normally see here on spine health. I would make an appointment with the doctor not the PA to review the results. Ask him for an item by item explanation. And take a pen and paper to make notes. Another set of ears is good too.

    Do you have an MRI from before your surgery to compare to? Sometimes change is more important that just one test.

    Good luck
  • I absolutely agree with kris.contact your doctor and take someone with you if you can so that you have two people listening to everything thats being said.I beleive your right there is definitely something going on there that you need to find out about.Good luck!
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