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Spinal Cord Disorders Message Board

Spinal Cord Disorders Board Index

Well, now I am even more confused after receiving the results on the MRI's for Cervical & Thoracic and wonder what you all think. I did call the Neurosurgeon's office but was only able to talk to receptionist and she said for me to go ahead and send all the copies & CD's of CT scans & MRI's to them and she will get them to the Neurosurgeon. I asked her if she knew when I would get some results on the myelogram and she said "no". Hopefully I will hear something soon but here are the results from the MRI's so please let me know what you all think. It seems like the MRI's don't have as much reported as the CT scans did.

MRI Thoracic Spine without contrast:
Sagittal T2, T1 and inversion recovery images are followed by angled axial images. A T1 counting sequence of the entire spine with the exception of the most upper portion of the cervical region is reviewed. There are some apparent postsurgical changes at the lumbosacral juntion and in the lower cervical spine. MRI of the cervical spine is reviewed for additional counting purposes.

There is no obvious displaced fracture or pathological marrow replacement. Some diffuse mild disc bulging is present without obvious cord compression or disc herniation. There is no evidence of abnormal cord signal or cord compression.

1. Diffuse mild degenerative changes in the upper to mid thoracic spine without definite cord compression or disc herniation.

2. No obvious component of displaced fracture or edema.

Sounds like arthritis to me.

MRI Cervical spine without contrast. History: abnormal CT scan of the cervical spine.

Prior CT images are reviewed. There is evidence of anterior cervical fusion present at what appears to be the C3 and C4 levels as well as C6 and C7. There is resulting artifact. Some postsurgical change ventral to the C5 vertebra is also felt present. No intrinsic cord pathology is noted. There is no obvious displaced fracture seen. There is no pathological marrow replacement noted.

Left-sided spurring is felt present producing foraminal narrowing at the C6-C7 interspace. C5-C6 level does not appear to be significantly narrowed. Some predominantly central spurring is identified behind the C4 vertebra. Some relative stenosis of the canal is felt present at this level.

There is some broad-based spurring present at the C3-C4 level. Foramina are relatively well preserved at this level, however.

1. Multilevel degenerative and surgical changes of C3 through C7 as described above.
2. Extensive artifact from the metallic surgical changes.
3. Left-sided spurring produces left foraminal narrowing at the C6-C7 interspace.
4. Some central spurring behind the C4 vertebral body with some mild left-sided foraminal narrowing present at the C3-C4 level.
5. No intrinsic cord pathology needed.

My family physician suggested seeing Neurosurgeon for evaluation on the MRI on the Cervical. He suggested Physical Therapy on the Thoracic. Needless to say I will not have physical therapy until I know what is also going on with the Cervical Spine and even then will be questionable. Still having severe pain in the right arm, scapula, elbow, forearm, wrist, hand and fingers.

Any comments from anyone because I don't understand how the 2 can be different? I just want to find out what is going on with me. I hope you all can help me with these results. Sure I don't want anything to be wrong but I sure want an answer to my pain.

Gentle Hugs to Everyone

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