Findings: There is a slender (1.3 mm) band of T2 prolongation within the central aspect of the cord extending from the T3-T4 to T10-T11 levels. Although nonspecific this is most consistent with a syrinx.
Small schmorl's nodes are seen on the apposing T10-T11 and inferior T12 and T11 endplates with mild endplate irregularity seen along the inferior T8 endplate. There is multilevel spuring. Shallow posterior disc bulges or focal protrusions are seen throughout the thoracic spine with sparing of the T2-T3, T9-T10,T11-T12 and T12-L1 levels. Disc protrusion is most evident at the T6-T7 level eccentric to the right. Shallow left paracentral disc protusion at the T3-T4 level slightly flattens the left ventral lateral margin of the spinal canel.
T2 prolongation within thre trachea at the level of the carina and extending into the right mainstem bronchus dependently is felt is most likely reflect some dependent secretions. Smaller area of T2 prolongation slightly more caudally within the dependent secretions extending into a lower lobe bronchus. Mucus plugging could also have this appearance. Lung parenchyma is poorly evaluated in MRI.
I picked this up yesterday from medical records on my way to my first physical therapy appt for the herniations, cord compression, stenosis, and kyphosis I'm dealing with in my lumbar and cervical spines. My poor physical therapist looked like she was going to be sick as she was reading it and then only did heat and whatever the machine is that sends electrical currents through your muscles on me. I'm not sure what to make of all of this but Im really glad I have my follow up appt tomorrow. I've been all but begging for this MRI since January because I've been sick/in pain since Oct'08 and once spinal injury was found in my neck and then my lumbar it just all fell together for me. My docs on the otherhand, well one (internal medicine) literally told me it's all in my head and I should go to a psychiatrist. This was back in October before any of my spinal injuries were found. What if I had? None of my spinal injuries would've been figured out for how long and I'd be poppin pills, I guess for the fun of it, till my body eventually stopped or ended up paralyzed.
So needless to say, I'm really freaked out and scared about what they might want to do. I don't take pain medication because none of it works on me. Max sedation doesn't even always stop by body from responding to my pain. This MRI had to be restarted 4 times because I kept adjusting/moving under general anesthesia. It's almost like I've been vaccinated against most meds and have not found anything yet to relieve any pain at all. Which I do ok with about 90% of the time but those other times are unbearable. And my docs have been less than nice about helping me find something that works. So if surgery is offered I don't know what I will do. I can't imagine dealing with surgery with no pain meds. My boyfriend brought up the fact that maybe something going on with my back is causing the malabsorption (besides meds just not working, I have also lost 150 lbs and have ended up with multiple vitamin/adrenal deficiencies) and maybe once it's fixed my body will accept meds. I say that's quite the chance to take.