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MRI impression of thoracic spine. Thoracic spine at T6-T7 reveal

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Posted on Mon, 25 Mar 2019
Question: MRI impression of thoracic spine.
Thoracic spine at T6-T7 reveal left paracentral disc herniation, which compresses the left ventral cord. The natural foramen are not significantly compromised at this level No other focal disc herniations, central or neural formaminal compromise. At T12 and L 1-2 there are broad based posterior disc bulges.
I have had C2 to T1 cervical fusion since years ago and Laminectomy 3 years ago. Developed hematoma after laminectomy which was resolved
I have paralyzed right diaphragm, have both hip replaced colon perforation and became septic, had to have colostomy which has been reversed. , colon perforation
doctor
Answered by Dr. Dariush Saghafi (6 hours later)
Brief Answer:
Can you do me the favor of posing a question that I can answer for you?

Detailed Answer:
Many thanks young lady for choosing to reach out on this network to ask a question. As a matter of fact you are currently living in Somerset, NJ (according to my information on you) which I'm told is about 3 miles distant from my home town. I was born at what used to be called MIDDLESEX hospital....now of course, it's the XXXXXXX Wood XXXXXXX Foundation. I've not seen MIDDLESEX hospital since I was just a wee lad you know! LOL! We moved out of NJ when I was very young. My father was a surgical resident in training and my mother an RN at St. Barnabas (in NYC I believe).

I've reviewed your REPORT which is attached. However, it is not of anything to do with medical reports, labs, or doctor's notes. It appears to be a screen shot taken of a computer laptop with some information on the screen from a website called HAYNEEDLE.

Also, I did review your introductory blurb which has a slight typo to begin with in the 2nd sentence that starts with "The Natural foramen......" It's very possible that the report itself says NATURAL but this would because there was a TRANSCRIPTION mistake made by the computer when listening to a doctor dictating the words NEURAL FORAMEN.

There is a herniation of a disk at the T6/T7 level which is compressing the SPINAL CORD itself as opposed to just a spinal nerve. This could mean that you are a suffering from a mild or moderate degree of SPINAL CORD weakness in both motor as well as sensory function. at the T6/T7 junctional level. But when the spinal cord is affected that means that you could very well be demonstrating what we call a partial block at T6/7 So, not only would you be a little weak in muscles right AT the T6/7 level but you may also feel some weakness, numbness, tingling, etc. at every level BELOW the T6/7 level itself in the abdominal muscles, in the waist, the hips, and the legs.....but only on the LEFT side for the most part. Your right side should be just fine. You may also be suffering from neuropathic pain sorts of symptoms. By the MYELOPATHY is the thing of major concern here.

This condition would need to be taken care of surgically in my opinion and depending upon the severity of your symptoms...sooner rather than later since the spinal cord doesnb't tolerate very well being compressed for long periods of time before permanent/irreversible damange is done.

I'm not impressed much of the broad based posterior disc bulges. My recommendation is that you look into surgical repair of this problem as quickly as possible. You will want to contact a NEUROSURGEON and especially one that specializes in spinal cord surgery..... I will bid thee farewell at this point while you decide whether or not I've answered your the questions you were INTENDING on asking but forgot to include! ROFLMAO! Perhaps, I have already? Again, with spinal cord compression you want to be quite deliberate but expeditious in your decisions because time is of the essence lady.

And so, if I've provided useful or helpful information to your question could you do me the favor of CLOSING THE QUERY along with a few POSITIVE words of feedback and maybe even a 5 STAR rating if you feel it is deserving? I would be interested in getting some updated information on how things are going in the next few weeks if you can remember to drop me line at: www.bit.ly/drdariushsaghafi

You can always reach me at that address for this or other questions. I wish you the best with your symptoms and hope this information does help you.

This query required 70 minutes of professional time to research, assimilate, and respond in complete form.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dariush Saghafi

Neurologist

Practicing since :1988

Answered : 2474 Questions

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MRI impression of thoracic spine. Thoracic spine at T6-T7 reveal

Brief Answer: Can you do me the favor of posing a question that I can answer for you? Detailed Answer: Many thanks young lady for choosing to reach out on this network to ask a question. As a matter of fact you are currently living in Somerset, NJ (according to my information on you) which I'm told is about 3 miles distant from my home town. I was born at what used to be called MIDDLESEX hospital....now of course, it's the XXXXXXX Wood XXXXXXX Foundation. I've not seen MIDDLESEX hospital since I was just a wee lad you know! LOL! We moved out of NJ when I was very young. My father was a surgical resident in training and my mother an RN at St. Barnabas (in NYC I believe). I've reviewed your REPORT which is attached. However, it is not of anything to do with medical reports, labs, or doctor's notes. It appears to be a screen shot taken of a computer laptop with some information on the screen from a website called HAYNEEDLE. Also, I did review your introductory blurb which has a slight typo to begin with in the 2nd sentence that starts with "The Natural foramen......" It's very possible that the report itself says NATURAL but this would because there was a TRANSCRIPTION mistake made by the computer when listening to a doctor dictating the words NEURAL FORAMEN. There is a herniation of a disk at the T6/T7 level which is compressing the SPINAL CORD itself as opposed to just a spinal nerve. This could mean that you are a suffering from a mild or moderate degree of SPINAL CORD weakness in both motor as well as sensory function. at the T6/T7 junctional level. But when the spinal cord is affected that means that you could very well be demonstrating what we call a partial block at T6/7 So, not only would you be a little weak in muscles right AT the T6/7 level but you may also feel some weakness, numbness, tingling, etc. at every level BELOW the T6/7 level itself in the abdominal muscles, in the waist, the hips, and the legs.....but only on the LEFT side for the most part. Your right side should be just fine. You may also be suffering from neuropathic pain sorts of symptoms. By the MYELOPATHY is the thing of major concern here. This condition would need to be taken care of surgically in my opinion and depending upon the severity of your symptoms...sooner rather than later since the spinal cord doesnb't tolerate very well being compressed for long periods of time before permanent/irreversible damange is done. I'm not impressed much of the broad based posterior disc bulges. My recommendation is that you look into surgical repair of this problem as quickly as possible. You will want to contact a NEUROSURGEON and especially one that specializes in spinal cord surgery..... I will bid thee farewell at this point while you decide whether or not I've answered your the questions you were INTENDING on asking but forgot to include! ROFLMAO! Perhaps, I have already? Again, with spinal cord compression you want to be quite deliberate but expeditious in your decisions because time is of the essence lady. And so, if I've provided useful or helpful information to your question could you do me the favor of CLOSING THE QUERY along with a few POSITIVE words of feedback and maybe even a 5 STAR rating if you feel it is deserving? I would be interested in getting some updated information on how things are going in the next few weeks if you can remember to drop me line at: www.bit.ly/drdariushsaghafi You can always reach me at that address for this or other questions. I wish you the best with your symptoms and hope this information does help you. This query required 70 minutes of professional time to research, assimilate, and respond in complete form.