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Spinal Cord Disorders Message Board


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I am new here and just trying to understand results of my husbands MRI.
Symptoms are severe lower back and leg pain, numbness and tingling of arms and hands. He has a history of heart problems and was thinking his pain in arms was another heart attack or something to do with that. He went to his vascular Dr. and he did a doppler scan to seen if there were any vascular issues due to his symptoms. That came back clear and showed no blockages in lower extremeties so he recommended getting an MRI thinking he might have a herniated disc. His cardiologist also said he might be having disc issues but also said he would not ok him to have surgery due to his weakened heart. His primary Dr. received the results and called and said he needed to see an orthopedic surgeon because the results came back "abnormal" but did not say what abnormal was so we don't know if it is something to be concerned about or not and is it something that would require major surgery or something that would be minimally invasive that he could do to relieve his pain. He has already had surgery at his C5 and C6. His pain has been so bad the last couple of days he can barely walk.

TECHNIQUE: Noncontrast sagittal T1, sagittal T2, sagittal STIR, axial gradient echo, axial T2 sequences.

FINDINGS: High T2 signal in the flattened cervical cord at C3-4 may be myelomalacia
Anterior fusion is seen at C5 and C6. No recurrent bulge or protusion is seen at C5-6.
Central canal in the cervical spine is congenitally small.
Cervical spine is straightened. No spondylolisthesis is seen. Cervical vertebrae have normal signal intensity and height. Cervical disks are moderately dessicated with mild narrowing of C2-3, C3-4, C4-5, and moderate narrowing of C6-7. Foramen magnum is patent. No Chiari malformation is seen.

C2-3: 2mm bulge flattens the cervical cord causing moderate central stenosis. Unicinate joint spurring causes moderate bilateral foraminal stenosis.

C3-4: 2mm bulge flattens cervical cord causing moderate central stenosis. Unicinate joint spurring and mild right facet joint hypertrophy cause severe right and moderate left foraminal stenosis.

C4-5: 2-3: 2mm bulge flattens the cervical cord causing mild central stenosis. Unicinate joint spurring and mild right joint hypertrophy cause severe right and moderate left foraminal stenosis.

C5-6: No recurrent bulge or protusion is seen. No central stenosis is seen. Uncinate joint spurring causes severe right and moderate foraminal stenosis.

C6-7: 2mm bulge flattens the cervical cord causing mild central stenosis. Uncinate joint spurring causes moderate bilateral foraminal stenosis.

C7-T1: No bulge or protusion is seen. No central or foraminal stenosis is seen.

IMPRESSION:
1. High T2 signal in the flattened cervical cord at C3-4 may be myelomalacia.
2. Anterior fusion is seen at C5 and C6. No recurrent bulge or protusion is seen.
3. Central canal in the cervical spine is congenitally small.
4. Cord flattening and moderate central stenosis are seen at C2-3 and C3-4. Cord flattening and mild central stenosis are seen at C4-5 and C6-7.
5. Bilateral foraminal stenosis are seen at C2- through C6-7

LUMBAR:
TECHNIQUE: Non contrast sagittal T1, sagittal T2, sagittal STIR, axial T1 and axial T2 sequences of the lumbar spine were obtained.

FINDINGS: LUMBAR vertebrae have normal signal intensity and height. No spondylolisthesis is seen. L2-3 and L5-S1 disks are mildly dessicated and narrowed. Conus terminates at the lower L1 level. Mild bilateral facet joint hypertrophy is seen at L2-3 through L5-S1.

L1-2: 1 mm bulge slightly flattens the thecal sac. No central or foraminal stenosis is seen.

L2-3: 2mm bulge, disk narrowing, thickened ligamentum flavum, facet joint hypertrophy cause mild bilateral foraminal stenosis.

L3-4: 1 mm bulge slightly flattens the thecal sac. No central or foraminal stenosis is seen.

L4-5: 2 mm bulge flattens the thecal sac without causing central stenosis. Bulge and facet joint hypertrophy cause mild bilateral foraminal stenosis.

L5-S1: 3 mm central protusion indents the thecal sac without causing central stenosis or displacement of the S1 nerve roots. No foraminal stenosis is seen.

IMPRESSION:
1: Mild central stenosis is seen at L2-3
2. Mild bilateral foraminal stenosis are seen at L2-3 and L4-5.





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