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Spinal Cord Disorders Message Board

Spinal Cord Disorders Board Index

C spine mri
Sep 5, 2017
Please help to understand the results for me and thank you so much

Findings: There is reversal of the normal cervical lordosis with kyphotic angulation in apex at the level of C5-6.

C3-4: Unremarkable.

C4-5: Small left posterior paracentral disc protrusion with annular tear abuts the left anterolateral cervical cord.

C5-6: Small to moderate sized posterior central disc protrusion with a slight indentation on the anterior cervical cord and contacts the central left C6 nerve root.

C6-7: Posterior disc bulge results in slight thinning of the anterior subarachnoid space.

C7-T1: Unremarkable.

1. Small to moderate sizes posterior central disc protrusion eccentric to the left at C5-6 results in cord compression and contacts the left C6 nerve root.
2. Small left posterior paracentral disc protrusion with annular tear at C4-5 abuts the left anterolateral cervical cord and appears to contact the left C5 nerve root.
3. Asymmetric soft tissue thickening at the base of the tongue with encroachment of the left side of the vallecula air space. This probably is due to lymphoidal tissue, but advise ENT consultation and direct visualization.
Re: C spine mri
Sep 7, 2017
Welcome to the board. The normal human spine has three curves. The upper (cervical) and lower (lumbar) part of the spine curve inward (lordosis) and the thoracic or middle spine has an outward or kyphotic curve. Due to a variety of causes, sometimes the spine loses its normal curve or develops one going in the wrong direction.

The report refers to a reversal of lordosis that occurs at the C5-6 segment of the cervical spine. In addition the disc between the C5 and C6 vertebrae is protruding out from the disc space and is pushing into the spinal cord and coming in contact with the C6 nerve root.

There are also small disc protrusions above and below this level. At C4-5 the disc has a small tear in the outer layer of the disc (annular tear). This allows some disc material to ooze out of the disc, out of the disc space and to press into the cervical spinal cord. This appears to come in contact with the C5 nerve root.

Whenever something comes in contact with a spinal nerve, it can cause pain, tingling and/or numbness at the site of contact or anywhere along the path of the nerve. You can look online for a "dermatome map". to see where C5 and C6 run across the collar bone and down the arm into the thumb.

The last finding under Impression refers to something that was visualized while looking at the cervical spine. It is a thickening of soft tissue at the base of the tongue and the radiologist suggests you see an ent (ear, nose and throat) specialist to examine it.

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