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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hi Dr. XXXXXXX Please have look x-ray of my cervical

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Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6548 Questions

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Posted on Tue, 29 Jan 2019 in General Health
Question: Hi Dr. XXXXXXX
Please have look x-ray of my cervical and if you can please assess and comment on follow:
Lateral view
Ap view
Assess all the visible structure, and adequate coverage on C1 to T1
Alignment, anterior line, posterior line and posterior longitudinal ligament on C1 to C7, spinolominar line, cervical cord, lies between posterior line and spinolominar line etc.

Check and comment on all vertebral bodies, damages, impost etc. Compression C1 to C7, spinous process on bodies etc.
Outline if possible each bone, looking for fractures, damage, loosing space etc.

Please comment on C2 cortical ring and disc space C1 to C7 and C1 and scull
Please asses soft tissue using 373 rule
Please assess on edges looking at all other visible structures
In summery please comment on possible lordosis, stage of cervical curve, damage C1 to C7 with focus on C3,C4,C5,C6 and C7
And on the end please outline cervical degeneration stage of degeneration (1,2,3 ???) and other issues what could be important in process of working out on exercise, treatment plan etc.
Thanks
Lazar

Attached is x-ray



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Follow up: Dr. Vivek Chail 2 hours later
Sorry i forgot to ask yoy if possible
Please compare with 2016 xray of same cervical and please asses and advise diference, mean woesing 2016 and now
Now is present in cer 1 and cer 2 jpg and 2016 in 3rd upload
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Follow up: Dr. Vivek Chail 2 minutes later
Xray from 2016
3rd upload is 0000_132154.jpg
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Answered by Dr. Vivek Chail 11 hours later
Brief Answer:
There is mild to moderate cervical spondylosis, minimal increase from 2016

Detailed Answer:
Hi LAZAR,
Thanks for writing in to us.

The cervical curvature is mildly straightened in the xray done in 2016 and in the recent xray there is more straightening of the cervical vertebrae.

The alignment is well maintained in both xrays.

There are beaking anterior osteophytes in the cervical vertebrae and the ostophyte at the anterior inferior part of C4 is bridging the disc space between C4 and C5 vertebrae as you can see. Comparing both xrays I find minimal increase in the size of osteophytes in C4 and C5 vertebrae.

There are mild posterior osteophytes from C3 to C7 vertebrae levels.

The posterior elements are normal in shape except for mild degenerative changes.

The C2-C3 disc space is minimally decreased in the 2016 xray and in the recent xray there is minimal decrease if C2-C3 and C3-C4 disc space.

The pre and para-vertebral soft tissues appear normal.

The lines are normal in both xrays.

There is no significant compression or height loss in the vertebrae.

The facet joints are showing mild degenerative changes in both xrays.

You have mild to moderate cervical spondylosis. I suggest you get a MRI scan of the cervical spine done if there are no contraindications in getting a MRI scan done.

If the MRI does not show any significant neural foramina or spinal canal stenosis and if the cervical spinal cord is normal then you may continue doing physical exercise under supervision of your therapist.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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