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Spinal Cord Disorders Message Board


Spinal Cord Disorders Board Index


think I need an expert here please to assist me with interpreting my MRI results. I basically slipped in a very long shower pulling my head up so not to crack it open and landed on my back with my leg in a weird position. Of course I put my arms behind me to break my fall-bad mistake.
I have just got plaster off as they said I had fractured the scaphoid and thought pinning may be needed however upon MRI results he took it off? I might add that I get weakness in both arms numbness and tingling in my fingers. Weakness to the elbows, dropping things and sometimes just unable to hold something.
MRI
RIGHT WRIST
There is minimally displaced fracture through the distal radial metaphysis. Position is satisfactory in cast. Fine detail of the carpal bones is obscured by the overlying cast. This is when he took the cast off.
MRI LEFT SHOULDER
TECHNIQUE:
Axial and sagittal PD with fat sat. Sagittal and coronal T1. Coronal T2 with fat sat.
FINDINGS
There is a partial thickness undersurface tear of the infraspinatus tendon. The tear measures 9mm longtidinally x 7mm transverly and passes through approximatel 50% of the width of the tendon. the remaining rotator cuff tendons are normal. There is an anterosuperior sublabral foramen, there is no labral tear. There are mild AC joint degenerative changes.There is low grade bursitis. There is no muscle belly wasting. There is a split within the biceps tendon, signal within the biceps tendon is normal in keeping with this being a longstanding finding. Acromion is type II. There is no other abnormality in the ...... and it stops there.
MRI TWO REGION SPINE
HISTORY
C5/6 disc bulge
TECHNIQUE
Sagittal T1, T2, axial [email protected] W imaging of the cervical and lumbar spine.
CERVICAL SPINE
No loss of vertebral body heights. There is a Schmorl's node present at the C4 vertebral body inferior endplate. Mild disc space narrowing is present at C4/5 and C5/6........artefact mildly degrades from image quality. Cord signal does appear normal. The cord is normal in size. The posterior fossa structures have a normal configuration.
At C4/5 there is a broadbased disc bulge which results in mild foraminal narrowing. The CSF anterior to the spinal cord is effaced. Cord signal is normal.
At C5/6 there is a left focal paracentral disc protrusion which effaces the anterior aspect of the spinal cord and displaces it posteriorly. Marginal osteophytes are present at this level. These changes result in moderate left side foraminal stenosis.
There is a shallow left paracentral / foraminal disc bulge at C6/7 resulting in minor foraminal narowwing and partial effacement at the CSF anterior to the spinal cord.
LUMBAR SPINE
Vertebral alignment is satisfactory. No loss of vetebral body heights. Marrow signal is normal. Disc space narrowing and loss of hydration signal is present at L3/4. The spinal cord terminates at the level of the T12/L1 disc. The conus is normal in size and signal.
There is minor shallow bulging of the disc at L3/4 which only just abuts the thecal sac but does not efface it and there is no compromise of the exiting or descending nerve roots.
Can you please explain all of this, will I need any operations and how long for recovery.
I have now been waiting over 6 weeks to see a neurosurgeon, the Orthopedic says I need to see him and my GP is trying to get this done asap.
I cannot believe all of this came from one fall although an incredibly painful one.
Please help.:dizzy:
Thank you.





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