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Dr. Andrew Rynne

Family Physician

Exp 50 years

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I just had a MRI of my neck. The imaging

I just had a MRI of my neck. The imaging place gave me a disk but I haven’t yet followed up with the doctor. One imagine looks strange to me - but I have not idea what I’m looking at. Just hoping someone can tell me if it looks ok or should I be concerned? Hi, can I answer your health question? Please type your question here...
Tue, 8 May 2018
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doctor1 MD

I am 37 years old and had an MRI of my neck and this is what it said: The prior study demonstrated degenerative findings at the atlantoaxial articulation, C2-C3 uncovertebral hypertrophy with mild to moderate left foraminal narrowing, and C4-C5 uncovertebral hypertrophy with mild bilateral neuroforaminal narrowing. There are 7 cervical segments. Vertebral body heights and intervertebral disc spaces are maintained. There is mild spondylotic change in the mid lower cervical segments. There is normal bone marrow signal. There is mild disc desiccation in the mid cervical segments. There is straightening of the normal cervical lordosis. The cervicomedullary junction is in appropriate position. There is normal cervical cord signal and HARRELL-CRUMPTON, SHAMIKA S CONFIDENTIAL Page 55 of 58 caliber. There is no prevertebral soft tissue swelling. There are mild degenerative changes of the atlantoaxial articulation. At C2-C3, there is mild left uncovertebral hypertrophy with minimal left neuroforaminal narrowing. There is no significant canal compromise the disc herniation. At C3-C4, there is no significant disc herniation, canal compromise, or neuroforaminal narrowing. At C4-C5, there is no significant neuroforaminal or canal narrowing. At C5-C6, there is no significant disc herniation, canal compromise, or neuroforaminal narrowing. At C6-C7, there is no significant disc herniation, canal compromise, or neuroforaminal narrowing. At C7-T1, there is no significant disc herniation, canal compromise, or neuroforaminal narrowing. Impression: 1. No significant change in cervical spine findings since January 2011. 2. Mild C2-C3 left uncovertebral hypertrophy with minimal left neuroforaminal narrowing. The teaching physician has reviewed the images and agrees with the findings in this report. No overlapping procedures.

doctor1 MD

Hi, Dr. Mintz. I received an MRI report and I am a little unclear a to what this exactly means. Here is the report: Test MRI: CERVICAL SPINE W/O CONTRAST Result See description Description PROCEDURE: MRI CERVICAL SPINE W/O CONTRAST - 72141 CLINICAL: NECK PAIN TECHNIQUE: MRI OF THE CERVICAL SPINE The study was performed with T1-weighted imaging, as well as FLASH 2D imaging and T2-weighted imaging. COMPARISON: There are no recent comparison exams available at the time of dictation. FINDINGS: The study shows no evidence of Chiari malformation. There is impingement on the anterior subarachnoid space at the C3-C4, C5-C6 and C6-T7 levels with spinal canal narrowing and mild impingement on the cervical cord. There is disc space narrowing at C5-C6 and C6-T7 levels. The spinal cord in the cervical region shows no evidence of enlargement or abnormal signal intensity. There is also no evidence of syrinx.

doctor1 MD

Don t understand what all of this may mean. Appt isn t for another month. Lumbar MRI and cervical MRI. Sorry so long... Cervical Impression: degenerative disc disease, spondylitis, kyphosis, and severe bilateral foraminal stenosis primarily at c6-c7 with small protrusion osteophytes and below noted findings. Findings: scouts are reviewed. Coronal Imaging is reviewed. There is mild scoliosis concave right in the cervical region. T2 sagittal cervical imaging shows advanced severe degenerative disc disease and spondylitis with Modic end plate changes at c6-c7 and small posterior protrusion osteophytes and some impingement stenosis or the central canal at c6-c7. There is slight kyphosis. There are smaller protrusions at c5-c6 and c4-c5 respectively. Loss of lordosis suggests a strain, sprain, and muscle spasms component. T1 Saggital shows no other marrow replacement disorder. Axials confirm patent central canal and bilateral neural foremen at c2-c3 and mild left foraminal encroachment at c3-c4, moderate right foraminal encroachment at c4-c5 and a mild bilateral foraminal encroachment at c5-c6 and severe bilateral foraminal stenosis at c6-c7. Lumbar spine Impression Degenerative disc disease, spondylosis, and small protrusion osteophytes and moderate relative foraminal encroachment at l5 through s1. Findings: scouts are reviewed. Coronas are reviewed. There is mild levoscoliosis convex left in the coronal planes. T2 sagittal lumbrosacral imaging shows moderate to severe degenerative disc disease and spondylosis at l5-s1. There is a small posterior protrusion osteophyte, annular tear at l5-s1. Parasaggital imaging confirms relative bilateral foraminal stenosis at l5-s1. Aorta, bone marrow, spinal cord, and conus are unremarkable. Sacrum is and/or unchanged from t2 s. Axials confirm patent central canal and bilateral neural foremen at l1-l2 and l2-l3. There is moderate relative bilateral foraminal encroachment at l5-s1. I am a 36 year old female. In pain almost 24/7. Back pain neck pain, andmleft arm pain. Please help me understand this in lamens terms. What may be causing this...is this what is causing my pain???

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