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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Following Test Report Indicate?

c4-5 there is a diffuse disc bulge which narrows the subarachnoid space but does not deform the cord. mild bilateral neural forminal stenosis secondary to hypertrophic uncovertebral jointand facet changes. c6-7 diffuse disc bulge which narrows the subarachnoid space but does not deform the cord. what does all this mean?
Thu, 14 Feb 2019
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Internal Medicine Specialist 's  Response
Hello,

This means that you have advanced cervical spondylosis with features of inter-vertebral disc protrusion at certain vertebral levels like cervical 4th and 5th vertebrae and also at cervical 6th and 7th vertebrae.

But none of this protrusion is causing any compression of the spinal cord as it is only causing dents on the lining of the spinal cord and thus narrowing subarachnoid space i.e the space with cerebrospinal fluid lying immediately outside the spinal cord.

Hence you are not having compressive myelopathy.

In addition, you have bilateral neural foraminal stenosis gain due to degenerative changes and thus may compress the cervical nerve roots that exit through foramina. You might be having brachial neuralgia i.e radiating pain in upper limbs.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Tushar Kanti Biswas, Internal Medicine Specialist
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What Does The Following Test Report Indicate?

Hello, This means that you have advanced cervical spondylosis with features of inter-vertebral disc protrusion at certain vertebral levels like cervical 4th and 5th vertebrae and also at cervical 6th and 7th vertebrae. But none of this protrusion is causing any compression of the spinal cord as it is only causing dents on the lining of the spinal cord and thus narrowing subarachnoid space i.e the space with cerebrospinal fluid lying immediately outside the spinal cord. Hence you are not having compressive myelopathy. In addition, you have bilateral neural foraminal stenosis gain due to degenerative changes and thus may compress the cervical nerve roots that exit through foramina. You might be having brachial neuralgia i.e radiating pain in upper limbs. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist