I understand I have to get a Doctor's diagnosis, as I have been waiting about a week to hear from them but hadn't yet....Can anyone help translate my MRI. I am in need for understanding in specific's & a picture as a whole. I am post opt c5-c6 (nov 2005), c6-c7 (April 2007). It's been 5 years since my last surgery. Any help is certainly appreciated.
MRI cervical spine without & with contrast 4/11/12
History: The patient complains of neck pain & bilateral shoulder pain extending into the upper extremity bilaterally with weakness. She also complains of paresthesis of the right upper extremity.
Procedure: MR imaging of the cervical spine is performed before & after intravenous contrast enhancement. Comparison is made with the previous study dated 1/27/2011.
There is evidence of fusion c5 through c6. There is good alignment of the vertebral bodies. The hardware and vertebral bodies could not be optimally evaluated due to the magnetic susceptibility artifacts.
There is loss of disc height & signal at level c3-c4, c4-c5, & c7-t1 representing degeneration/desiccation of the discs.
The bone marrow signal of the vertebral bodies & posterior elements appear normal with no evidence of focal enhancement.
c2, C2-3 unremarkable
c3, C3-4 Moderate sized disc osteophyte complexes seen without a significant compression on the thecal sac or the nerve roots. The facet joints appear normal. No evidence of spinal stenosis.
c4, C4-5 There is prominent uncinate spur asymmetrically more towards the right & moderate facetal arthropathy. There is narrowing of the right neural foramen c4-5 which was also noted in the previous study. The left neural foramen appear normal, no evidence of spinal stenosis.
c5, C5-6 There is diffuse enlargement of the right nerve root c6 which shows contrast enhancement & a small surrounding fluid in the right neural foramen. This may represent neuropathy /neuritis. This was not noted in the previous study. There is a 5.5 x3.7 MM extradural meningeal cyst in the latter part of the left neural foramen c5-c6 displacing the left nerve root c6 anteriorly. This is unchanged since the previous study. No evidence of spinal stenosis at this level.
c6-7 No evidence of neural foraminal or spinal canal stenosis. The facet joints appear unremarkable.
The size & signal of the cervical spinal cord appear normal. There are some serpiginous areas of signal void seen in the cervical spinal cord which I believe represent imaging artifacts. Remote possibility of these representing tortuous spinal dural veins? may not be excluded.
Images obtained after contrast enhancement do not show any areas of focal abnormal enhancement in the cervical spinal cord, vertebral bodies or the posterior elements.
1) Moderate severe right neural foraminal stenosis c4-5 which was also noted in the previous study 1/27/2011 & is unchanged in the interval
2) Moderate thickening of the right nerve root c6 with a surrounding fluid may represent neuropathy/neuritis. This was not visualized in the previous study.
3) A small extradural meningeal cyst posterior to the left nerve root c6 with displacing the nerve root anteriorly.
4) Anterior spinal fusion c5-c7. Good alignment of the vertebral bodies.
5) Degeneration/desiccation of the intervertebral discs level c3-4, c4-5,c7-t1
6) other findings as above.