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What Does That Mean Please

Mike DoranosMMike Doranos Posts: 7
edited 09/18/2015 - 8:12 PM in Chronic Pain
Hi Everyone,
I just got my MRI report, does any one know what "Chronic Appearing Small Focal Disc Protrusions with Significant Focal Deformity of the Right Hemicord" means? the part that says "Significant Focal Deformity of the Right Hemicord" frightens me a lot, is it bad? does it constitute a threat now or in the future? does it go worse?

A little background:
I have mid and upper back pain for a year so far that travels all the way to my neck and head causing headache and burning sensation in my eyes and face. I have also noticed twitching of my lips and eyes and also numbness in my chin.

The MRI findings are:
1. Mild early cervical spondylosis without spinal canal or significant neural foramina stenosis.
2. T4-T5 and T5-T6 chronic appearing small focal disc protrusions with significant focal deformity of the right hemicord at T4-T5 level.
3. Mild broad-based left posterolateral L4-L5 disc protrusion causing moderate neural foramina stenosis.
4. No evidence for signs of CSF hypotension or potential etiology for CSF leak.

My biggest concern is finding #2 above, especially where it says "significant focal deformity of the right hemicord at T4-T5" .. how bad that is now or in the future? does it have anything to do with my facial issues explained above? any help understanding it or any one has any kind of experience with such symptoms (above) or MRI findings?

I am sorry if I sound repetitive in my post, I just don't know who to ask since the physician who ordered the MRI is a neurologist and not a neurosurgeon, he was NOT a great help in interpreting the MRI report .. sigh...

Any word is helpful and extremely appreciated!

Thank you ALL in advance!!

No one on the Spine-Health patient forums is medically qualified to provide any advice or recommendations on any diagnostic test. However, the following key words can always be applied.
  • MILD Treated with conservative measures such as Physical Therapy and mild medications. Many times these situations can be cleared up and the condition can be resolved.MODERATE Some more treatments may be needed, ie Spinal Injections, Ultra sound and stronger medications. Always a possibility of more aggressive treatment if the conservative measures don't helpSEVERE Need for stronger medications. The requirement for surgery may be necessary


  • Hello ......

    Any feedback please?

  • Medical tests or reports.
    I am sure we all understand being concerned about what you read, but the spine surgeon who ordered the test is the best suggestion to explain what those findings mean for you, in your specific situation.
    When do you return to the doctor?

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  • Mike DoranosMMike Doranos Posts: 7
    edited 09/19/2015 - 8:35 PM
    The problem is the doctor who ordered the MRI is not a neurosurgeon, he is a neurologist so (I believe) he explained it from a neurology point of view only.
    I am actually trying to find someone who has had similar diagnosis/finding/experience [edit]

    Thanks a ton!

    No on one the Spine-Health patient forums is medically qualified OR PERMITTED to provide any advice or recommendations on any diagnostic test
    Liz, Spine-health Moderator
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