So in the wake of pain in my posterior deltoid, radiating up into my elbow and thumb (on my left arm, my 'good' arm, in which I have some usable fine motor, the center of my independent life), also pain in traps, I had an MRI to track narrowing in spinal canal which was present 5 years ago. I DONT think I have any weakness or restricted range of motion, but I do have some tingling, burning, though it *could* be injury from some things I've been doing over past 6 months. My findings:
Narrative
Technique: Sagittal T1-weighted and fat-suppressed T2-weighted FSE
sequences, as well as axial T1-weighted, T2-weighted FSE, and gradient echo
sequences, were obtained of the cervical spine. A sagittal STIR was also
obtained.
Findings:
The visualized posterior fossa is normal in appearance. There is kyphotic
curvature of the cervical spine, decreased from prior, with mild
retrolisthesis of C5 on C6. There is a new mild anterior height loss or
superior endplate depression of the C7 vertebral body with mild low T1,
high T2 signal within the superior aspect. Unchanged mild-moderate anterior
wedging of the C5 vertebral body. Mild endplate reactive changes at C6. The
spinal cord is decreased in caliber from the C4-C6 levels, similar to
prior, with associated mild high T2 signal likely reflecting myelomalacia.
C2-C3: Tiny disc bulge, unchanged. No mass effect upon the cord or
foraminal narrowing.
C3-C4: Tiny disc bulge, unchanged. No mass effect upon the cord or
foraminal narrowing.
C4-C5: Small broad-based disc and osteophyte, right greater than left. No
mass effect upon the cord or foraminal narrowing.
C5-C6: Unchanged large broad-based disc and osteophyte, right greater than
left, resulting in narrowing of the ventral CSF space and abutment of the
spinal cord. There is moderate-severe bilateral foraminal narrowing.
C6-C7: Disc desiccation. New large broad-based disc and osteophyte, right
greater than left, resulting in narrowing of the ventral CSF space and
severe bilateral foraminal narrowing.
C7-T1: New moderate right paracentral disc protrusion resulting in
narrowing of the ventral CSF space and moderate right foraminal narrowing.
Susceptibility artifact posterior to the T1 level is again noted, likely
from Harrington rods.
Impression:
1. Increased degenerative disc disease including new large disc and
osteophyte at C6-C7, as above.
2. New mild superior endplate depression of C7 with associated high T2
marrow signal which may represent degenerative endplate changes or an
acute/subacute Schmorl's node. Although a superior endplate fracture could
have a similar appearance, this is considered less likely in the absence of
recent trauma.
I have to say, this REALLY worries me. The balls in my court based on subjective belief as to how much my symptoms interfere with independence, if I choose they will do steroid injection to the site. Surgery (foraminotomy?) not discussed.
For record, I am a 42 y/o incomplete C5-6, no triceps, manual chair user
Thoughts? Feedback?
Thank you for any & all comments!
Lee
Narrative
Technique: Sagittal T1-weighted and fat-suppressed T2-weighted FSE
sequences, as well as axial T1-weighted, T2-weighted FSE, and gradient echo
sequences, were obtained of the cervical spine. A sagittal STIR was also
obtained.
Findings:
The visualized posterior fossa is normal in appearance. There is kyphotic
curvature of the cervical spine, decreased from prior, with mild
retrolisthesis of C5 on C6. There is a new mild anterior height loss or
superior endplate depression of the C7 vertebral body with mild low T1,
high T2 signal within the superior aspect. Unchanged mild-moderate anterior
wedging of the C5 vertebral body. Mild endplate reactive changes at C6. The
spinal cord is decreased in caliber from the C4-C6 levels, similar to
prior, with associated mild high T2 signal likely reflecting myelomalacia.
C2-C3: Tiny disc bulge, unchanged. No mass effect upon the cord or
foraminal narrowing.
C3-C4: Tiny disc bulge, unchanged. No mass effect upon the cord or
foraminal narrowing.
C4-C5: Small broad-based disc and osteophyte, right greater than left. No
mass effect upon the cord or foraminal narrowing.
C5-C6: Unchanged large broad-based disc and osteophyte, right greater than
left, resulting in narrowing of the ventral CSF space and abutment of the
spinal cord. There is moderate-severe bilateral foraminal narrowing.
C6-C7: Disc desiccation. New large broad-based disc and osteophyte, right
greater than left, resulting in narrowing of the ventral CSF space and
severe bilateral foraminal narrowing.
C7-T1: New moderate right paracentral disc protrusion resulting in
narrowing of the ventral CSF space and moderate right foraminal narrowing.
Susceptibility artifact posterior to the T1 level is again noted, likely
from Harrington rods.
Impression:
1. Increased degenerative disc disease including new large disc and
osteophyte at C6-C7, as above.
2. New mild superior endplate depression of C7 with associated high T2
marrow signal which may represent degenerative endplate changes or an
acute/subacute Schmorl's node. Although a superior endplate fracture could
have a similar appearance, this is considered less likely in the absence of
recent trauma.
I have to say, this REALLY worries me. The balls in my court based on subjective belief as to how much my symptoms interfere with independence, if I choose they will do steroid injection to the site. Surgery (foraminotomy?) not discussed.
For record, I am a 42 y/o incomplete C5-6, no triceps, manual chair user
Thoughts? Feedback?
Thank you for any & all comments!
Lee
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