Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

152 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What does the following MRI result indicate?

Answered by
Dr.
Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3425 Questions

default
Posted on Tue, 4 Apr 2017 in Brain and Spine
Question: Please explain these MRI results in layman's terms. No follow-up has been suggested, should I be concerned?

293 lbs.; sedentary office worker. I don't know if any of these are related, but current symptoms are position-related headaches at left base of skull to left crown; constant dull neck pain w/occasional mobility limiting sharp pain; occasional burning sensation over right upper back, and right upper arm pain to elbow. Recent episode of severe vertigo, lasting about 20 minutes; not repeated since.

FINDINGS:
Cervical Spine: There is loss of the normal cervical lordosis. Vertebral body heights are maintained. Diffuse low T1 signal which could be related to changes of chronic anemia. There is thickening of the posterior longitudinal ligament at the level
of C6 which contacts the anterior margin of the spinal cord without impingement. There is no abnormal cord signal.

Evaluation of disc levels as follows:
C2-3: Unremarkable.

C3-4: Broad-based disc protrusion without thecal sac stenosis.

C4-5: Mild bilateral uncovertebral and left facet hypertrophy without foraminal thecal sac stenosis.

C5-6: Facet and uncovertebral arthrosis causing mild to moderate bilateral foraminal narrowing.

C6-7: Facet and uncovertebral arthrosis cause mild bilateral foraminal narrowing.
doctor
Answered by Dr. Olsi Taka 4 hours later
Brief Answer:
Degenerative spine disease.

Detailed Answer:
I read your question carefully and I understand your concern.

That report speaks of chronic degenerative changes of the spine involving several levels. Over the years our spines due to the wear and tear do slowly undergo degenerative changes. These changes are in the form of disc bulges, thickened ligaments, bony spurs (osteophytes), arthritis etc. What the MRI aims to identify is whether these changes cause narrowing of the spinal canal (where spinal cord passes) or the foramina (the canals which nerve roots transverse to exit the spine) which in turn lead to compression of the spinal cord or of the nerve roots.

So at C3-4 there is a bulging disc but it doesn't narrow the spinal canal.

At C4-5 there is a thickening of the facets, the joining points between the vertebrae, but it is mild and doesn't lead to narrowing of the canal or foramina, so no compression.

At C5-6 again there is a similar finding of inflammatory changes of the facets. It does cause some narrowing but not severe, shouldn't be compressing the nerve roots

At C6-7 basically the same finding of inflammatory changes causing only mild narrowing.

Loss of lordosis and thickening of the ligament are again a common finding in degenerative spine changes.

So in conclusion I would say that those changes are not severe, in a way they were to be expected in someone who has had the lumbar spine issues you've had (part of the same chronic degenerative process). They do not need surgery or any invasive intervention, only physical therapy and anti-inflammatory over the counter pain killers like Ibuprofen when needed. They do justify the pains you describe.

I remain at your disposal for other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Medical Topics ,   ,   ,  

Recent questions on  Cervical lordosis

doctor1 MD

i am a 20 year old female i was diagnosed with loss of normal cervical lordosis and a minimal disc bulge at c4-5 and c5-6 levels last year. one year later the pain is worst and lately i have been having a shortness of breath problem where i have to take a deep breath and sometimes i have a vertigo feeling. please explain my problem to me i dont understand it

doctor1 MD

Hi, Earlier line 6 months ago I had cervical Lordosis due to which I used feel numbness in my fingure. But after consulting with doctor that got recovered. But from yesterday I am feeling warmness in my right Leg is it because of earlier cervical...

doctor1 MD

Hi, My brother had pain in his right hand. When checked the doctor said to take scan and on reading report told he needs to get operated. Attached is the report. Can you help me understand what the problem is and what do you reccommend?

doctor1 MD

Need the interpretation of CT results. Computer tomography of the cervical spine segment: No pathological changes are visible in the enclosed segment of the posterior cranial well. The cervical lordosis is smooth. Preserved cranio-caudal size and...

doctor1 MD

Hi I was wondering if you could give me some information on loss of normal cervical lordosis, most commonly due to muscular spasm with a minor reduction in disc height C4/5 nad C5/C6 but with-out significant osteophylosis. No focal bony abnormality. I have twsted/bent urinary tube ?& as a result I have loss of bladder contrl when I walk, cough, sneeze etc
I hope you can tell me more about this & if there is anything that can be done. I do have a sheet of exercises to complete & pelvic exercises. I am very fit, not over weight & the exercises are not working
I was meant to have physiotherapy at the local hospital but as I work I coulf not get time for it
Thank you
Rita

doctor1 MD

I am 31 yrs old and was sufeering from giddiness and voimitting feeling.The doc suggested to get a Brain MRI done and teh result is as follows -



Loss of cervical lordosis with minimal early posterior disc osteophyte complex not causing any cord compression



Can you please advice..