 
                            MRI Findings Of Cervical Spine Shows Small Central Disc Protrusion At C4 And C5 And Minimal Effacement Of Thecal Sac Margin. Meaning?
 
 
                                    
                                    
                                          
                                               Posted on
                                          
                                            
                                         
                                           Sat, 3 Aug 2013
                                           
                                        
                                        
                                        
                                            Medically reviewed by
                                            
                                                  Ask A Doctor - 24x7 Medical Review Team
                                            
                                        
                                        
                                             Sat, 3 Aug 2013
                                                
                                            
                                                Answered on
                                                
                                                Sat, 3 Aug 2013
                                                
                                            
                                                Answered on
                                             
                                             Tue, 27 Aug 2013
                                                
                                                
                                                Last reviewed on
                                                
                                                Tue, 27 Aug 2013
                                                
                                                
                                                Last reviewed on
                                             
                                            Question : MRI OF THE CERVICAL SPINE WITHOUT CONTRAST, 7/9/2013 11:50 AM       
 
CLINICAL INDICATION: Neck pain
 
TECHNIQUE: T1 and T2 sagittal. Axial T2 and 2-D merge.
 
COMPARISON: none
 
FINDINGS:
The cervical medullary junction and the cervical spinal cord are unremarkable.
The visualized posterior fossa unremarkable. The cervical lordotic curvature is
maintained. The visualized spinal canal is widely patent. No intramedullary
signal abnormality of the cervical cord nor is there extrinsic compression.
Intervertebral disc spaces are maintained. The vertebral body morphology is
normal. There is no bone marrow infiltrative process.
 
Analysis of the axial images as follows.
 
At the C2-C3, a small central disc protrusion is demonstrated 5 mm transverse x2
mm AP, series 7 image 4. There is minimal focal effacement of the anterior
thecal sac margin. No contact of the cervical spinal cord. Neural foramina are
patent.
 
At C3-C4, normal.
 
At C4-C5, a small central disc protrusion is evident, 8 mm transverse x2 mm AP.
There is minimal effacement of the anterior thecal sac margin. No contact of the
cord margin. No foraminal stenosis.
 
At C5-C6, C6-C7, and C7-T1, normal.
 
 
                            CLINICAL INDICATION: Neck pain
TECHNIQUE: T1 and T2 sagittal. Axial T2 and 2-D merge.
COMPARISON: none
FINDINGS:
The cervical medullary junction and the cervical spinal cord are unremarkable.
The visualized posterior fossa unremarkable. The cervical lordotic curvature is
maintained. The visualized spinal canal is widely patent. No intramedullary
signal abnormality of the cervical cord nor is there extrinsic compression.
Intervertebral disc spaces are maintained. The vertebral body morphology is
normal. There is no bone marrow infiltrative process.
Analysis of the axial images as follows.
At the C2-C3, a small central disc protrusion is demonstrated 5 mm transverse x2
mm AP, series 7 image 4. There is minimal focal effacement of the anterior
thecal sac margin. No contact of the cervical spinal cord. Neural foramina are
patent.
At C3-C4, normal.
At C4-C5, a small central disc protrusion is evident, 8 mm transverse x2 mm AP.
There is minimal effacement of the anterior thecal sac margin. No contact of the
cord margin. No foraminal stenosis.
At C5-C6, C6-C7, and C7-T1, normal.
                                    Hi,
Thank you for posting your query. I have gone through the reports of MRI cervical spine.
First of all, I would like to reassure you that the MRI reports do not suggest any serious neurological problem.
The report is suggestive of mild disc bulges in the cervical (neck) region, which is putting mild pressure on the neck nerves, that travel to arm and hands.
This may result in neck pain and arm pain, tingling, numbness, weakness of arms, hands, etc.
Treatment depends on the symptoms. However, it is clear that surgery is not needed in your case. Physiotherapy would be useful.
I hope it helps. Please get back if you have any more queries.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
                                    
                            Thank you for posting your query. I have gone through the reports of MRI cervical spine.
First of all, I would like to reassure you that the MRI reports do not suggest any serious neurological problem.
The report is suggestive of mild disc bulges in the cervical (neck) region, which is putting mild pressure on the neck nerves, that travel to arm and hands.
This may result in neck pain and arm pain, tingling, numbness, weakness of arms, hands, etc.
Treatment depends on the symptoms. However, it is clear that surgery is not needed in your case. Physiotherapy would be useful.
I hope it helps. Please get back if you have any more queries.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                          
 
                                    
                                    
                                 
 Answered by
 
                                                    Get personalised answers from verified doctor in minutes across 80+ specialties
 
                         Sign in with Google
 Sign in with Google 
  
                                 
                                