I am wanting to see if someone can help me understand my MRI results..
technique: sagittal T1 and T2 and axial gradient T2 and T1 sequence of the cervical spine are performed before the admin. of intravenous contrast. Subsequent intravenous contrast was admin. and axial and sagittal T1 weighted sequences were performed.
Finding: There is smooth reversal of the cervical curvature. The vertebral bodies are normal in height.
at the level of c2-c3, there is no evidence of focal disc protrusion or canal or neural foraminal narrowing.
at the level of c3-c4, there is posterior central disc bulging abutting the anterior margin of the thecal sac. There is no cord impingement. The neural foramina are patent.
at the level of c4-c5, there is a small central disc protrusion measuring approx. 3mm in anteroposterior extent superimpoed upon diffuse disc bulging. The disc protrusion causes mild mass effect upon the anterior margin of the spinal cord. The disc protrusion extends very slightly, asymmetrically towards the left. There is mild canal stenosis with only a narrow column of CSF remaining present posterior to the cord. The left foramen is narrowed due to asymmetric uncinate hypertrophy and associated asymmetric disc bulging.
at the level of c5-c6, there is shallow broad-based protrusion of disc material in the central/left paracentral location causing mild flattening of the left anterior margin of the spinal cord and mild reduction in anteroposterior diameter of the left aspect of the spinal canal. The left neural foramen is also mildly narrowed.
at the level of c6-c7, there is a small disc protrusion lateralizing slightly asymmetrically to the right causing mild mass effect upon the anterior margin of the thecal sac and partial effacement of the CSF anterior to the spinal cord. This disc protrusion may minima.lly contact the anterior margin of the spinal cord to the right of midline, but there is no cord deformity resulting. The spinal canal diameter is mildly narrowed. Bilateral neural foramina are grossly patent.
at the level of c7-t1, there is no canal or neural foraminal stenosis.
No areas of signal alteration are seen within the spinal cord. No areas of unanticipated enhancement are seen within the spinal cord or immediate surrounding soft tissues on the post contrast images. The visualized portions of the posterior fossa and craniocervical junction are grossly normal.
1. focal central disc protrusion at c4-c5 causing mild mass effect on the anterior margin of the spinal cord resulting in mild canal narrowing. The left neural foramen is also mildly narrowed at this level.
2. Broad-based central/left paracentral disc protrusion at c5-c6 causing flattening of the left anterior margin of the spinal cord and mild narrowing of the spinal canal diameter.
3. Centra/right paracentral disc protrusion at c6-c7 effacing CSF anterior to the spinal cord.
4. No abnormal enhancement.