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cervical spine MRI need help to understand it

Findings

Normal cervical vertebral body height and alignment. No bony destructive alterations. Degenerative endplate signal changes most pronounced at C5-6 and C6-7. Intrinsically, the cervical cord appears to be grossly normal. Congenital cervical spinal canal dimensions are normal. Cerebellar tonsils are normally positioned.

At C2-3, there may be some left-sided posterior element hypertrophy and at least some narrowing of the left neural foramen

Bulge/spur particularly to the left at C3-4 with suspected mild to moderate left-sided foraminal stenosis

Broad-based protrusion with endplate spur at C4-5 effacing the thecal sac and perhaps somewhat flattening the cord with moderate central stenosis. There is posterior element hypertrophy with mild or no more than mild to moderate forminal narrowing

Diffuse endplate spur/hard disc at C5-6 effacing the thecal sac with flattening of the cord and moderate central stenosis. Prominent bilateral foraminal narrowing seen

Bulge and endplate/uncovertebral spur at C6-7 particularly prominent out laterally more so on the left with bilateral left greater than right foraminal stenosis. On the left this may be fairly severe.

very little bulge suspected at C7-T1 with little narrowing

IMPRESSION

SPONDYLITIC AND DISCONGENIC ALTERATIONS INVOLVING THE CERVICAL SPINE AS DESCRIBE PARTICULARLY AT C5-6 AND C6-7
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Comments

  • First let me say welcome to spine-health. Have a look around and you will find others going through the same as yourself. AS far as to your question of what your MRI, states, what did the doctor whom ordered say? Keep in mind after the age of 25 the spine will show wear and tear on it. Many people walk around with herniations in their spines but never know it as they are non symptomatic from it. With that said, we don't interrupt MRI's for that reason, as what we might say, may not match the symptoms you are having. Which is why you need both the clinical exam along with the images to make the diagnoses.

    Some things you can do to learn and be prepared for your appointment, is check out the FAQ section and the links preparing to meet with a spine surgeon and the 34 questions to ask. Along with that at the top of the page is a search bar where you can put in key words and learn the meaning of them such as cervical spondylitic, cervical stenosis and so on. This will lead you to video links as well as some of the doctor written peer reviewed articles. Also check out the animated video on the different parts of the spine. I know I am asking you to do some homework but it is for your own good. Typically when one meets with a surgeon or doctor you don't have much time, so you want to be prepared for your appointment so you understand what is being said and all the options you have. AS far as to what treatment you might get only the doctor can decide, it can be anything from surgery to conservative type treatments to include but not limited to injections, therapy, medications and so on.

    Just thought I would stop by and welcome you to spine-health. Look forward to reading more of your post and what your doctor has to say about your prognosis. Keep in mind the symptoms are more important than the images. Good luck and keep us posted.
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