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MRI Results
Jun 15, 2014
Can anyone give me a MRI to English translation?

FINDINGS: Counting from the last rib, there are 5 non-rib bearing
lumbar vertebral bodies. Last disc space is designated L5/S1.
Bone marrow signal is normal. There are no acute or chronic
compression fractures. Conus medullaris ends normally at L1.
Cauda equina nerve roots have a normal appearance.

Degenerative changes are as follows:
L1/2: Normal
L2/3: Mild disc bulge asymmetric to the right without canal or
foraminal narrowing.
L3/4: Mild facet hypertrophy with no significant canal or
foraminal narrowing.
L4/5: Mild based disc protrusion and mild to moderate facet
hypertrophy with no canal stenosis. Mild right and moderate left
neural foraminal narrowing.
L5/S1: Focal disc protrusion in the right foraminal region on
series 7, image 18 and series 3, image 10 not appearing to
contact any nerve roots. Mild facet hypertrophy. No canal
stenosis. Mild right neural foraminal narrowing mainly due to
facet arthropathy

FINDINGS: Images are slightly degraded by motion.

Craniocervical junction is normal. Cervical spinal cord has
normal signal and morphology. There is no fracture or
pre-vertebral soft tissue swelling. No ligamentous injury is
present. No large neck mass or lymphadenopathy is detected.

Degenerative changes are as follows:
C2/3: Normal
C3/4: Mild left foraminal narrowing due to facet and
uncovertebral joint hypertrophy.
C4/5: Small disc bulge with moderate right and mild left
foraminal narrowing due to facet and uncovertebral joint
hypertrophy.
C5/6: Moderate disc bulge asymmetric to the left contacting the
ventral surface of the cord with indentation of the ventral
surface with moderate canal stenosis. Moderate to severe right
and moderate left neural foraminal narrowing.
C6-7: Moderate disc bulge with mild canal stenosis. Moderate
bilateral neural foraminal narrowing.
C7-T1: Mild left foraminal narrowing due to facet and
uncovertebral joint hypertrophy
Re: MRI Results
Jun 15, 2014
First off welcome. What are your symptoms?

It looks like you had a MRI of your Cervical (neck) and Lumbar (low back) portions of the spine.
Here is a lumbar breakdown but most of the terms are used in both. When I have time I will break down the Nneck MRI.

KEY WORDS-
Stenosis- Narrowing of space in spinal canal
Forminal Narrowing- Reduction in space where nerve root leaves canal
Disk Bulge- A disk out of normal space
Facet hypertrophy- Enlargement of facet joints

Lumbar-
-----------------------------------------------------------------------
FINDINGS: Counting from the last rib, there are 5 non-rib bearing
lumbar vertebral bodies. Last disc space is designated L5/S1.
Bone marrow signal is normal. There are no acute or chronic
compression fractures. Conus medullaris ends normally at L1.
Cauda equina nerve roots have a normal appearance.

Degenerative changes are as follows:
L1/2: Normal
L2/3: Mild disc bulge asymmetric to the right without canal or
foraminal narrowing.
L3/4: Mild facet hypertrophy with no significant canal or
foraminal narrowing.
L4/5: Mild based disc protrusion and mild to moderate facet
hypertrophy with no canal stenosis. Mild right and moderate left
neural foraminal narrowing.
L5/S1: Focal disc protrusion in the right foraminal region on
series 7, image 18 and series 3, image 10 not appearing to
contact any nerve roots. Mild facet hypertrophy. No canal
stenosis. Mild right neural foraminal narrowing mainly due to
facet arthropathy
-------------------------------------------------------------------------

They looked at the first 5 vertebra above your sacrum. There are no fractures of any vertebra pictured. The Conus Medullaris is basically where the spinal cord tapers off to individual nerves, L1 is a common place to end. The individual nerves are referred to as the Cuada Equina (latin for horse tail) as they look similar to a horse tail, these have a normal appearance in your case.

It then goes through the different disk levels. Disks are named for the one directly above and below. If you are unfamiliar with how nerves leave your spinal canal google lumbar spine pictures.

L1/2: Normal---- Nothing significant here

L2/3: Mild disc bulge asymmetric to the right without canal or foraminal narrowing.
------------------------------------------------------------------------
A disk is bulging out of its normal position but not impinging on spinal canal or the nerve root that leaves at that level. (foraminal narrowing is referring to the hole that the nerves escape from)
------------------------------------------------------------------------
L3/4:Mild facet hypertrophy with no significant canal or foraminal narrowing.
------------------------------------------------------------------------
A facet joint is where the vertebra above and below are joined. (Think elbow, knee, etc) hypertrophy is the enlargement of the joint, arthritis.
------------------------------------------------------------------------
L4/5: Mild based disc protrusion and mild to moderate facet hypertrophy with no canal stenosis. Mild right and moderate left neural foraminal narrowing.
------------------------------------------------------------------------
A disk is bulging out of its normal position, also enlargement of the facet joint. There is no spinal canal impingement. Report shows that at this level there is less space than normal where the nerves root leave the spinal canal. (forminal narrowing)
------------------------------------------------------------------------
L5/S1: Focal disc protrusion in the right foraminal region on series 7, image 18 and series 3, image 10 not appearing to contact any nerve roots. Mild facet hypertrophy. No canal stenosis. Mild right neural foraminal narrowing mainly due to facet arthropathy---
------------------------------------------------------------------------
A disk is bulging out of its normal position but the report says that it is not contacting your nerves. Enlargement of the facet joint. Narrowing of the space for right nerve root is noted due to arthropathy.
Re: MRI Results
Jun 18, 2014
Wow your information was helpful... I am hoping you can break my MRI down as well and tell me if surgery is an option for me...

FINDINGS: There is straightening of the normally observed cervical lordosis and diffuse cervical disc dehydration dhange. The posterior fossa is clear. Discogenic changes in the midcervical spine are most pronounced, characterized by endplate ridging, early disc height loss, and formation of dorsal disc osteophytes.
C2-C3: There is minimal posterior extension of disc annulus. Joints are intact. There is no central or foraminal narrowing.
C3-C4: Minimal dorsal disc narrowing. There is very slight ridging of the right facet joint. No stenosis.
C4-C5: 2 mm dorsal disc osteophyte complex, minimal uncinate ridging. No stenosis.
C5-C6: 5 mm dorsal disc osteophyte complex effaces the anterior epidural space, contacting and slightly flattening the ventral cord surface. Uncinate spur on the left causes a moderately sever narrowing of the foraminal outlet.
C6-C7: 5 mm broad disc osteophyte complex in continuity with spurred uncinate joint margins causes a moderate narrowing of the central canal and moderate to moderately severe left and mild to moderate right neural foraminal narrowing.
C7-T1: Tiny 1 mm left paracentral protrusion does not have mass effecton the cord. the neural foramina are widely patent.
T1-T2: Minor facet joint ridging but no stenosis.
T2-T3: More significant facet spur at this level is associated with moderate to moderately severe right and moderate left neural foraminal narrowing.

IMPRESSION:
1. Moderate to moderately severe central and foraminal narrowing at C5-C6 and C6-C7 as above.

2. There is significant foraminal stenosis at T2-T3 from facet spur formation. There is no cord edema and no bone stress response. Noted straightening of the normally observed cervical lordosis may alter spinal biomechanics and can be associated with muscle spasm.

Lumbar MRI
Conus and cauda Edina have a normal appearance. The fluid sensitive sequence shows edema across the left facet joint at L5-S1. Intervertebral discs are normal in signal and height at every level. Numbering assumes five non rib-bearing lumbar vertebrae.
T10-11 through L1-L2: Unremarkable.
L2-L3: A small foraminal protrusion is depicted both right and left as on the prior study. In association with mild facet capsular thickening and ridging, this causes mild foraminal canal narrowing. Sagittal image 10 series 3 shows left foraminal annular fissure.
L3-L4: Mild facet capsular thickening and very small foraminal protrusions with fissures bilaterally associated with moderate foraminal narrowing. Central canal is clear.
L4-L5: Mild endplate bony ridging, very subtle posterior extension of disc annulus, modest hypertrophy of facets and very slight narrowing of the neural foraminal outlets.
L5-S1: On the left, the pars interarticularis appears irregular, thin, some scelorisis but also edema-like signal change. There is a tiny synovial cyst within capsular tissue behind the left neural foraminal outlet, sagittal image 11 series 6. There is a very minor degeneration/ridging of the right facet joint. disc margin is clear. there is only minimal narrowing of the neural foraminal outlets. Degenerative-type cyst if seen along the inferior facet surface on the left on axial image 29 series 7.
[B]IMPRESSIONS[/B]:
1. left-sided pars irregularity and facet arthropathy/inflammation L5-S1 has progressed from the prior inflammation is more apparent on the current study which includes a STIR sequence. There is only a minor narrowing of subjacent neural foraminal outlet and no evidence for nerve root impingement at L5-S1.

2. At L2-3 and L3-4 a small foraminal protrusions persist and are stable. There is associated early facet DJD and mild to moderate neural foraminal narrowing at these two levels.





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