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I would so appreciate any input and explanation anyone might have regarding my symptoms -- and explanation of the following MRI results.

Pain: under skull; across top of left shoulder; left shoulder blade up to base of skull; left arm triceps; occasionally in lower arm/wrist (Pain Levels waffle from Level 2 to 6, depending upon day and hour of day)

FINDINGS: The normal cervical lordosis is mildly reversed. There is mild cervical scoliosis to the left. The
vertebral body heights and alignment are preserved. There are endplate osteophytic degenerative changes with accompanying intervertebral disc space narrowings at the C4-C7 levels. There is a 1 cm hermangioma in the C7 vertebral body. In addition, there is a subcentimeter hemangioma in the posterior C2 vertebal body. Otherwise bone marrow signal intenity is within normal limits.

The cervical spinal cord is normal in caliber and signal intensity.
The visualized posterior fossa is grossly unremarkable.

C2-C3 level: unremarkable

C3 -C-4 Level: there is a posterior central broad-based disc protrusion with minimal endplate dengerative changes, mildly indenting on the dural sac with no spinal cord compromise. Bilateral neural foramina are patent.

C-4 - C-5 Level: There is a minimal diffuse disc bulging with endplate degenerative changes, mildly indenting on the dural sac with no spinal cord compromise. The left neural foramen is mildly and the right neural foramen is moderately narrowed by uncovertebral joints hypertrophy.

C-5-C-6 Level: There is a left subarticular broad-based small disc protrusion with endplate osteophytic degenerative changes, indenting on the dural sac with no spinal cord compromise. The right neural sforamen is mildly and the left neural foramen is moderately narrowed by disc herniation with bilateral uncovertebral joints hypertrophy.

C-6 - C-7 Level: There is a minimal diffuse disc bulging with endplate miimal degenerative changes, mildly indenting on the dural sac with no spinal cord compromise. the right neural foramen is patent. The left neural foramen is mild to moderately narrowed by uncovertebral joint hypertrophy.

C-7-T-1 Level; there is a minimal diffuse disc bulging, slightly indenting on the dural sac with no spinal cord compromise. The left neural foramen is moderately narrowed by the superimposed left foraminal disc protrusion with uncovertebral and facet joint hypertrophy, impinging on the left C8 nerve root. There is also an 8 x 6 mm well-defined cystic lesion in the exit of the right neural foramen, which may reflect a synovial cyst or perineural CSF space enlargement.


IMPRESSION:
1. Mild reversal of the normal cervical lordosis and mild cervical scoliosis to the left
2. C-7 and T-1 left neural foraminal stenosis with Left C8 nerve root impingement
3. C7-T1 right neural foraminal 8 x 6 mm well defined cystic lesion, which may reflect a synovial cyst or perineural CSF space enlargement. Clinical correlation is recommended.
4. Multilevel disc hernations with endplate osteophytic degenerative changes, indenting the durl sac with no spinal cord compromise.
5. C4-5 and C5-6 and C-6-7 left neural foraminal stenoses.

RADIOLOGIST REPORT of MRI, January 16, 2012





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