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Thread: Needing help with MRI readings

  1. #1

    Needing help with MRI readings

    Hello, I am needing help to understand the MRI reports please. My doctor has not been in touch with me since having these done last month and I am wondering if I should push the issue or just wait for my next appointment in April. This all looks bad to me. I had a MRI of the Cervical and the Lumber. These were done do to cronic migraines, Radiculopathy, chronic low back pain with bilateral leg pain. (Was told diagnosis of Fibromyalgia and Retrolisthsis).

    Cervical

    Technique: MR exam of the cervical spine was performed without contrast. Sagittal and Axial T1 and T2-weighted images are provided.

    Findings: There is strightening of the normal cervical lordosis which may be due to patient positioning. No abnormal marrow or cord signal is seen. Disk space narrowing is seen at C6-7. Note is made of intraparotid lymph nodes bilaterally.

    At the level of C4-5, a central disk protrusion is seen without significant foraminal or spinal canal stenosis.

    At the level of C5-6, a left paracentral disk protrusion is seen which causes mass effect on the left lateral aspect of the thecal sac and contributes to mild spinal canal stenosis. No significant foraminal stenosis is seen. There is also increased T2 signal within the disk protrusion suggesting an annular tear.

    At the level of C6-7, a central disk protrusion is seen which results in mild to moderate spinal canal stenosis. No significant foraminal stenosis is seen.

    Impression: 1. Multilevel Degenerative Disk Disease is seen. The most significant levels of the disk pathology are at C5-6 and C6-7.
    2. At C5-6, there is a left paracentral disk protrusion causing mild spinal stenosis. There is an associated annular tear.
    3. At the level of C6-7, a central disk protrusion creates mild to moderate spinal canal stenosis without evidence of foraminal stenosis.


    Lumbar

    Technique: Multiplanar, multi-sequence MRI of the lumbar spine was performed obtaining STIR, T@ and T1-weighted sagittal images as well as axial T2-weighted images through the lumbar spine.

    Findings: Lumbar verebral body heights are well maintained with no acute fracture or dislocation. Static alignment is within normal. Minimal intervertebral disk space narrowing is noted involving L4-5 and L5-S1 levels. Visualized osseous marrow and spinal cord signal intensity are unremarkable. Conus is situated at the T10-T11 level. No paravertebral abnormalities are appreciated. Visualized sacroiliac joint is unremarkable.

    Sagittal images demonstrate a small posterior disk bulge at the T11-T12 level.

    The L1-2 and L2-3 levels demonstrate no buldge, herniation, canal or foraminal stenosis.

    The L3-4 level demonstrates minimal facet arthropathy with no disk bulge, herniation, canal or foraminal stenosis.

    The L4-5 level demonstrates a minimal concentric posterior disk buldge with no associated canal or foraminal narrowing.

    The L5-S1 level demonstrates a minimal diffuse posterior concentric disk bulge with no associated canal or foraminal narrowing.

    Impression: 1. No acute fracture or dislocation. Lumbar spine static alignment is normal.
    2. Minimal disk bulges in the lower lumbar spine with no associated canal or foraminal narrowing. No evidence of herniation at any lumbar level.
    Last edited by KSBelle; 02-18-2015 at 11:18 PM.

  2. #2
    My honest opinion! Chronic issues! Call MD you need a good spine Physical Therapist! You need to have vitamin D level checked! No lifting!
    After therapy- get good home program!
    Take Naproxen, muscle relaxers if having spasticity issues!
    CWO

  3. #3
    Quote Originally Posted by SCI-Nurse View Post
    My honest opinion! Chronic issues! Call MD you need a good spine Physical Therapist! You need to have vitamin D level checked! No lifting!
    After therapy- get good home program!
    Take Naproxen, muscle relaxers if having spasticity issues!
    CWO
    Thank you for your input. I am on 600mg Gabapentine twice a day and TiZanidine 4mg three times a day and still getting migraines. They are recommending Therapy but have not discussed my MRI's with me. I don't want to waste money on Therapy till I know exactly what is going on and can make an informed decision. That is also why I was trying to find out what the MRI's were saying since they are not telling me when I call reporting still having issues with the migraines and back pain. I have also been having issues with arm pain. One episode was bad enough I went to the ER. I am thinking it is time for me to take a little more charge and see if I can get into a specialist as I am not wanting to wait two more months to find out that therapy was not the best option for me at this time. I have been dealing with all this pain since 2007 and it is now, even with meds, to the point it is hard for me to even do house work.

  4. #4
    I would add Naproxen 500 mb po bid. You can still take the Gabapentin. You have issued all the wasy through your spine. You might want to see a headache specialist.
    CWO

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