I have had a few epidural shots. I have had a lot of headaches recently and strong tingling and numbness in my left shoulder so I asked for a repeat mri to see if anything has changed from last one.
There is a straightening of the normal lordotic curvature of the cervical spine. Anterior vertabral body osteophytes are noted within the mid and lower cervical spine. There is persistent degenerative endplate change present at C6-7 and C5-6. Disc desiccation and disc height loss are present from C4-5 through C6-7. Cervical vertebra are otherwise maintained. There is scant degenerative endplate change present withing the inferior endplate of T-1. Brain stem and cerebellem are within normal limits. Cervical spinal cord demonstrates scant ventral indentatiobn at c-4-5.
SEGMENTAL ANALYSIS: Is limited secondary to significant motion artifact on the axial images.
C2-3 : No disc herniation,central canal stenosis or foraminal stenosis is present
C 4-5: A left central disc osteophyte complex is present. It effaces the ventral thecal sac. No central canal stenosis is present. Superimposed unconvertabral spurring, facet arthropathy and the disc osteophyte complex mild to moderate narrow the left foramen. This is unchanged
C5-6: Disc osteophytic ridging is present. Unconvertabral spurring and facetarthropathy are present. Mild to moderate bilateral foraminal stenosis is present. this is unchanged.
C6-7: Central discosteophylic ridging is present. No central canal narrowing is identified. The formina are poorly visualized. However, there appears to be moderate bilateral foraminal stenosis which is unchanged when compared to the previous examination.
C7-T-1 : No disc herniation, central canal stenosis or foraminal stenosis present.
Multilevel degenerative disc disease, uncovertebral spurring and facet arthropathy are present within the mid and lower cervical spine. This is most severe at C6-7 where moderate bilateral foraminal stenosis is present.
Any thoughts? I see pain mgt next week and then neurosurgeon week after