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So here are the results of my brain, cervical, thoracic and lumbar spine mri's. I will try and remember to put the date at the top of each, as none are real current. My goal is to see if any of you can help me figure out what is causing my horrible burning nerve pain at the top back of my left shoulder and throbbing headaches in lower left back of head. Also, to get your opinion of what my next move should be...like, neuro, spine doc or pain clinic. As you know, I wanted to go to the pain clinic. I do see a neuro next Monday, but that is to rule out MS. She knows about my mri's and pain, but I'm pretty sure she hates me.
I had hoped to scan these results, then copy and paste, but wouldn't ya know it, the scanner is not seeing my laptop. So I have my work cut out for me. The burning nerve pain and headaches were NOT present at the time of any of these tests, that's why I think something has gotten worse, but not sure what.

Here goes...
MRI brain without and with contrast.
08/14/2011
Findings:
No acute or remote intracranial hemorrhage. No enhancing mass lesion or abnormal fluid collection. The ventricular system and other extra-axial fluid spaces are within normal limits.
The gray-white matter differentiation is well delineated. There are approximately 20 small round T2 hyperintense lesions randomly distributed within the supratentorial deep white matter structures primarily in the bilateral frontal and parietal lobes. The largest lesion is in the posterior right centrum semiovale measuring 10x6 mm. It exhibits no enhancement or adjacent vasogenic edema, however, there is a uniform restricted diffusion of the lesion. There is no associated T1 weighted signal alteration, lesional enhancement, restricted diffusion or mass effect/vasogenic edema within the remained of the white matter lesion. No discrete cerebellar lesion identified.
There is a subtle nonspecific T2 hyperintense signal along the lateral aspect of the right pons, which can be seen inpatients with demyelinating disease (MS). There is no associated enhancement, restricted diffusion or T1 weighted signal altercation. No abnormal enhancement or restricted diffusion in the brain. No gradient sequence abnormality in the brain. The pituitary gland is normal. Large intracranial vessel flow voids are maintained. Each of which contain air fluid levels. Fluid opacification is also seen in the anterior ethmoid air cells bilaterally.

Impression:
1) Approximately 20 small nonspecific T2 hyperintense white matter lesions are randomly distributed within the bilateral frontoparietal deep white matter favoring a vascular etiology (such as chronic small vessel ischemia or other vasculitis) given the distribution, patients age and lack of associated lesion enhancement/vasogenic edema. The largest lesion in the posterior right centrum semiovale exhibits restricted diffusion signifying acute/subacute injury. However, subtle T2 hyperintense signal along the right lateral aspect of the pons is nonspecific and may be related to pulsation artifact but can be seen in patients with demyelinating disease (MS). Therefore, follow-up imaging should be obtained as clinically indicated.
2) Marked concentric mucosal thickening of the maxillary sinuses which contain air fluid levels. Correlate for acute and/or chronic sinusitis.
end.

I did have a doppler on my neck and a ct (with contrast) of my head to look for a blood clot and/or aneurism after this mri, both tests came back normal.


Cervical spine mri without contrast (done following brain mri, so don't know why no contrast, unless there was some already in there from the brain mri)
08/04/2011
Findings:
There is no vertebral fracture. There is long segment straightening of the cervical curvature with the focal reversal (cervical kyphosis) centered around the C5-6 disk space. No abnormal bone morrow edema. There are chronic degenerative endplate changes at the C5-6 level consisting of endplate irregularity and degenerative bone morrow signal alteration with concomitant moderate disk space narrowing. The remaining cervical spine internal disk signal and intervertebral disk spacing is normal.
The spinal cord and visualized posterior fossa contents are normal. No obvious spinal cord lesions, cord expansion, or syrinx cavity. The craniocervical junction is normal.
No prevertebral soft tissue or paravertebral soft tissue abnormalities. There is marked concentric mucosal thickening in both maxillary sinuses.
C2-3 within normal limits.
C3-4 within normal limits.
C4-5 within normal limits.
C5-6: there is a circumferential disk bulge with broad based disk osteophyte complex, eccentric to the right. Bulging disk material contacts the ventral surface of the spinal cord, particularly on the right. There is mild spinal canal stenosis.
C6-7: there is a small circumferential disk bulge without associated spinal canal stenosis or spinal cord compression.
C7-T1 within normal limits.

Impression:
1) reversal of cervical spine curvature centered at the C5-6 disk space with concomitant C5-6 degenerative endplate change, disk space narrowing and posterior disk osteophyte complex which abuts the ventral aspect of the cervical spinal cord, particularly on the right. There is no altered cervical spinal cord signal.
end.

Thoracic mri without contrast.
04/30/2010
Findings:
The spinal cord is normal in size and signal intensity and terminates at the L1 level. There is normal thoracic alignment. There is mild disk space narrowing and associated end plate degenerative change at the T7-8 level. This is degenerative in nature. The bone otherwise are unremarkable. There are no acute osseous abnormalities. The remaining disk space and vertebral body heights are maintained. End plate degenerative changes and disk space narrowing is partially visualized at the C5-6 level. There is associated diffuse disk bulging with minor effacement of the ventral aspect of the cervical cord. If indicated, this could be further assessed with mri of the cervical spine.
T7-8: There is minor diffuse disk bulging. This minimally effaces the ventral aspect of the spinal cord. There is no frank central canal stenosis. There is no focal disk herniation. There is no visible nerve root impingement.
The remaining thoracic intervertebral disk spaces are normal.

Impression:
1) mild degenerative disk disease and diffuse disk bulging at the T7-8 level. The bulging disk minimally effaces the ventral aspect of the spinal cord with no central canal stenosis.
2) degenerative disk disease and disk bulging are partially visualized at the C5-6 level. If indicated, this could be further assessed with an mri of cervical spine.
3) The remaining portions of the thoracic mri are normal.
end.

Lumbar mri without contrast.
03/04/2011
Findings:
Metallic susceptibility artifact in the central pelvis. Otherwise, no paraspinous soft tissue abnormalities. Lumbar spinal alignment is within normal limits. Small rudimentary intervertebral disk at S1-S2. There is mild narrowing and desiccation of the intervertebral disk at L4-L5. Desiccation L3-L4. Spinal cord termination is within normal limits without signal abnormalities.
Above L3, no signal disk pathology or spinal stenosis.
L3-L4: left neural foraminal to extraforaminal annular tear associated with disk protrusion. Facet arthrosis, right greater then left. No central canal stenosis. At least moderate left neural foraminal stenosis. Mild right neural foraminal stenosis.
L4-L5: mild disk bulge in the neural foraminal extraforaminal regions bilaterally. Mild facet hypertrophy. No central canal stenosis.
L5-S1: intact intervertebral disk. Facet arthrosis bilaterally. No stenosis.

Impression:
1) Mild degenerative spondylosis.
2) Left neural foraminal to extraforaminal annular tear with an associated disk protrusion at L3-L4. This contributes to at least moderate left foraminal stenosis. No central canal stenosis at any level.

END!

OK... this took forever to type out. Tried my best to correct typos as I went. So I have 3 really painful spots that I am trying to decipher.

1) burning pain on back of left shoulder (between the top to the shoulder to the top of the shoulder blade) and lower left back side of neck.

2) I cannot do anything with my arms (dishes, cook, fold laundry) without the T7-8 area being in excruciating pain. That was the purpose of the mri, but never had any dr actually suggest a possible fix for it. It's like "ok, there's the problem, now shut up."

3) I wouldn't know where to begin to explain about the leg and hip pain. It's nonstop. Been that way for years.

So my questions to you are...
What are your suggestions about treatment?
Should I just keep suffering?
Should I go to the pain clinic?
Do you think any of these things can be fixed surgically? <---- don't even want to think about that. I'm 52 and recovery may take longer then years I have left...lol.

As I said above (way at the top) this burning nerve pain in my shoulder and headaches were not present at the time of any of these tests, it's something new. That's why I think I've went and messed something up.

THANK YOU to anyone who made it to the end of this!!!! :angel:





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