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

190 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 this MRI report indicate?

Answered by
Dr.
Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 3189 Questions

default
Posted on Thu, 9 Mar 2017 in Brain and Spine
Question: Ive had so much pain in my neck however I have had the nerves burned 2 times getting ready to do it agian..question is can I have a surgery that will fix it? Is it bad enough for that Im so tired of dealing with it.(This diagnostic report was migrated from a previous radiology system.)PATIENT NAME:     XXXX
PATIENT DOB: 0000
DATE OF EXAM:     01/04/2013
REQUESTED BY: XXXXXXX XXXX, MD
EXAM:     MRI CERVICAL SPINE WITHOUT CONTRAST
CLINICAL HISTORY: Neck pain, bilateral lower extremity weakness, bilateral shoulder pain, bilateral arm pain with numbness.
TECHNIQUE: MRI of the cervical spine is performed with sagittal T1, sagittal T2, axial 2D and 3D gradient images. There is some limitation due to patient motion on many of the sequences. Several of the sequences were repeated because of patient motion.
FINDINGS: The vertebral bodies are fairly well aligned and are normal in height and essentially normal in signal intensity throughout. There are mild disc degenerative changes throughout the cervical spine, greatest in the mid lower cervical levels.
Evaluation of the axial images reveals no gross canal or neural foraminal encroachment throughout the upper cervical levels.
At C4-C5 there is relatively mild lateral disc osteophyte complex bilaterally yielding mild degrees of foraminal encroachment bilaterally, slightly greater right than left.
At C5-C6 there is an asymmetric broad-based disc protrusion laterally toward the left with significant foraminal encroachment yielding moderate left foraminal encroachment. Overall, there is mild encroachment upon the canal and right neural foramen at this level.
At C6-C7 and C7-T1, there is no significant canal or neural foraminal encroachment appreciated. Of note, I did not appreciate any overt cord compression or abnormal cord signal throughout allowing for limitation.
IMPRESSION:
RELATIVELY MILD DISC DISEASE, THE GREATEST IN THE MID TO LOWER CERVICAL LEVELS AS ABOVE DESCRIBED WITH CANAL AND FORAMINAL ENCROACHMENTS AT THESE LEVELS ALL AS ABOVE DESCRIBED.
Thank you for this referral.

I thought this was a quick answer,,its been an hour

Im sorry I didnt get back with you on the above discussion..I was having problems with your page..all is good now..lol This has been going on over 5 years I was diagnosed with carpal tunnel and tarsal tunnel,,I have a lot of pain in my arms and mid upper back. I seen neurologist 2 different ones I went to pain management and after 2 years or so I quit going there..they gave me anything I wanted..pills patches..injections burning of the nerves 2 times, I decided it wasnt for me.. I had to take pills and have them in my system when ever they chose to check urine. I dont like to take pills all the time. Only when I needed to do something, the wait was unbearable,,however my family doc will only give me tramadol because of the overall drug war we have in our Country. I took Elevil 200 mg and flexril for pain and the elevil ( five years) just made me dumb founded and very forgetful..I tried other things in that line but the elevil worked best . Now I am only taking the flexril and tramadol..which isnt helping me as much as I like, Is there something else I can try that my doc would give that isnt so much a narcotic that could help me live life better. I have a new pain management doc whom only gives injections and said he doesnt like to do surgery on the neck because I am just setting myself up for more problems?? So I think I have done everything I could have..but not sure if doc thinks my neck is enough of a problem to have surgery. To me..a need a need one..lol So to you does it look like I should wait? Are my problems
coming from my neck? Thank you?
doctor
Answered by Dr. Erion Spaho 2 days later
Brief Answer:
Other antineuralgic drugs.

Detailed Answer:
Welcome back.

Regarding to your symptoms and MRI findings, the main problems seem to arise from your cervical spine.

Carpal and tarsal tunnel syndromes, if diagnosis is correct, can be treated with a microsurgical procedure that is performed under local anesthesia, and should not cause any issues after.

Other antineuralgic drugs that you may use before to consider surgery and are not narcotics, include antidepressants ( Amytriptiline, duloxetine ), antiepileptics ( Gabapentin, Pregabalin ).

However, it is necessary to discuss with your treating Doctor about these issues.

Hope this helps.

Take care.


Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Drug/Medication ,   ,  
Lab Tests
Medical Topics

Recent questions on  Foraminal encroachment

doctor1 MD

what do this mean.. Moderate right exit foraminal encroachment C6-7 secondary to uncovertebral joint spurring. T2 hyperintense signal is demonstrated within the cervical spinal cord on the STIR sequence. However there is motion artifact and this...

doctor1 MD

Pain in hypothenar weak pinky and ring finger - I am having spasms in my hypothenar when my pinky moves out from my other fingers or my hand is turned at the wrist palm up to the left see picture .... I have a sensation down my forearm which makes...

doctor1 MD

There are multi level marginal osteophytes the marrow intensity signal is preserved. Small Schmorl s node in assoication with the inferior endplate of L1. There is disc desiccation at L1-2 and from L3-4 through L5-S1. Disc height loss is noted from L3-4 through L5-S1 most prominently at L-S1. The conus of the cord terminates at approximately the inferior aspect of L-1 and has an unremarkable appearance. YYYY@YYYY At L1-L2 there a broad disc bulge/protrusion which is slightly asymmetric toward the left lateral aspect. It flatens the ventral aspect of the thecal sac but there is no evidence of significant central canal compromise. AP diameter of the thecal sac is approximately 12mm.There is mild bilateral facet arthropathy . There is mild encroachment upon the right neural foramen and moderate encroachment upon the left neural foramen. There is mild bilateral facet athropahy. There is fluid in the facet joints bilaterally. At L2-L3 there is no evidence of disc bulge or herniation. There is no evidence of central canal or foraminal stenosis . The facet show no significant arthropathy. At L3-L4 there is a broad central disc bulge with minimal impression upon the ventral aspect of the thecal sac. There is moderate bilateral facet arthropathy with ligamentum flavum prominence impressing upon the posterior lateral aspects of the thecal sac but there is no significant central canal compromise noted.AP diameter of the thecal sac is approximately 12mm. There is mild bilateral neural foraminal encroachment. At L4-L5 there is a broad central disc bulge and bilateral severe facet athropathy with ligamentum flavum prominance. There is mild left bilateral recess stenosis. AP diameter of the thecal sac is approx. 12mm in sequences significant central canal cpmpromise. There does appear mild left and moderate right neural forminal encroachment. At L5-S1 there is broad symmetrical disk bulge and mild bilateral facet arthropathy. There is no evidence of central stenosis. There is moderate right and severe left neural foraminal encroachment. Partially imaged bilateral renal cysts are suspected. Next no evidence of adenopathy. There is no evidence of muscle asymmetry. Impression: Dengenerative spondylosis as discribed. There is no evidence of significant central canal stenosis. There is multifactorial, multilevel forminal encroachment. See above. What does this mean?