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What Does This MRI Report Indicate?
Question: I'm 69 years old and my MRI report says: C5-6 broad-based disc osteophyte complex with focal component left posterior lateral position with impression upon left ventral nerve roots and minimal left-sided cord contact. Left uncinate hypertrophy with moderate to marked foraminal narrowing. What does this mean?
Brief Answer:
nerve root compression due to bone degeneration and disc prolapse
Detailed Answer:
Hello XXXX,
I have gone through your query and understand your concerns.
The MRI findings are age related degenerative changes of spine with compression at C5-6 level causing entrapment of exiting nerve. This may be leading to neck pain and radicular pain towards left upper limb.
The management is cervical collar with physiotherapy and pain modulator drugs like pregabalin, gabapentin or triptylines.
Surgical options are available for non responsive pain or neurological deficits.
You should get examination by neurosurgeon for need of surgical intervention at this stage.
Hope you found the answer helpful.
Do get back with further queries.
regards
Dr Neeraj Kumar
Neurologist
nerve root compression due to bone degeneration and disc prolapse
Detailed Answer:
Hello XXXX,
I have gone through your query and understand your concerns.
The MRI findings are age related degenerative changes of spine with compression at C5-6 level causing entrapment of exiting nerve. This may be leading to neck pain and radicular pain towards left upper limb.
The management is cervical collar with physiotherapy and pain modulator drugs like pregabalin, gabapentin or triptylines.
Surgical options are available for non responsive pain or neurological deficits.
You should get examination by neurosurgeon for need of surgical intervention at this stage.
Hope you found the answer helpful.
Do get back with further queries.
regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
I there a way I can upload the rest of my MRI report to you?
Brief Answer:
Yes, you can upload
Detailed Answer:
Hello,
Yes you can upload Mri report and images on this forum as attachment. You can also send them at YYYY@YYYY and address it to my name: Dr Neeraj Kumar.
Consult help desk for any problem.
Regards
Dr Neeraj Kumar
Neurologist
Yes, you can upload
Detailed Answer:
Hello,
Yes you can upload Mri report and images on this forum as attachment. You can also send them at YYYY@YYYY and address it to my name: Dr Neeraj Kumar.
Consult help desk for any problem.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
CLINICAL DATA: 69-year-old female with left-sided neck, shoulder
and upper arm pain with numbness in left hand for the past year. No
injury, no prior surgery and no history of cancer. Initial
encounter.
BUN and creatinine were obtained on site at XXXXXXX Imaging at
315 W. Wendover Ave.Results: BUN 24 mg/dL, Creatinine 1.3 mg/dL.
EXAM:
MRI CERVICAL SPINE WITHOUT AND WITH CONTRAST
TECHNIQUE:
Multiplanar and multiecho pulse sequences of the cervical spine, to
include the craniocervical junction and cervicothoracic junction,
were obtained according to standard protocol without and with
intravenous contrast.
CONTRAST: 12mL MULTIHANCE GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN
COMPARISON: None.
FINDINGS:
Cervical medullary junction and visualized intracranial structures
unremarkable. No focal cord signal abnormality or enhancement.
Visualized paravertebral structures unremarkable.
C2-3: Negative.
C3-4: Shallow disc osteophyte complex greater to left. Slight
impression left ventral aspect of the thecal sac crowding the left
ventral nerve roots. Left uncinate hypertrophy with mild left
foraminal narrowing.
C4-5: Broad-based disc osteophyte complex. Crowding of the ventral
nerve roots bilaterally. Uncinate hypertrophy with mild to moderate
foraminal narrowing greater on the left.
C5-6: Broad-based disc osteophyte complex with focal component left
posterior lateral position with impression upon left ventral nerve
roots and minimal left-sided cord contact. Left uncinate hypertrophy
with moderate to marked left foraminal narrowing.
C6-7: Broad-based disc osteophyte complex slightly greater to the
right. Minimal encroachment upon ventral nerve roots. Uncinate
hypertrophy with mild foraminal narrowing greater on the left.
C7-T1: Minimal bulge. Right perineural cyst incidentally noted.
Minimal bilateral foraminal narrowing.
T1-2: Minimal bulge with greater extension right foraminal position
with mild right foraminal narrowing.
T2-3: Bulge with mild spinal stenosis with minimal posterior cord
deflection. Mild left foraminal narrowing.
IMPRESSION:
Degenerative changes greater on the left C3-4 through the C5-6 level
with bilateral changes at the C6-7 level. Summary of pertinent
findings include:
C3-4 shallow disc osteophyte complex greater to left. Slight
impression left ventral aspect of the thecal sac crowding the left
ventral nerve roots. Left uncinate hypertrophy with mild left
foraminal narrowing.
C4-5 broad-based disc osteophyte complex. Crowding of the ventral
nerve roots bilaterally. Uncinate hypertrophy with mild to moderate
foraminal narrowing greater on the left.
C5-6 broad-based disc osteophyte complex with focal component left
posterior lateral position with impression upon left ventral nerve
roots and minimal left-sided cord contact. Left uncinate hypertrophy
with moderate to marked left foraminal narrowing.
C6-7 broad-based disc osteophyte complex slightly greater to the
right. Minimal encroachment upon ventral nerve roots. Uncinate
hypertrophy with mild foraminal narrowing greater on the left.
C7-T1 minimal bilateral foraminal narrowing.
T1-2 minimal bulge with greater extension right foraminal position
with mild right foraminal narrowing.
T2-3 bulge with mild spinal stenosis with minimal posterior cord
deflection. Mild left foraminal narrowing.
and upper arm pain with numbness in left hand for the past year. No
injury, no prior surgery and no history of cancer. Initial
encounter.
BUN and creatinine were obtained on site at XXXXXXX Imaging at
315 W. Wendover Ave.Results: BUN 24 mg/dL, Creatinine 1.3 mg/dL.
EXAM:
MRI CERVICAL SPINE WITHOUT AND WITH CONTRAST
TECHNIQUE:
Multiplanar and multiecho pulse sequences of the cervical spine, to
include the craniocervical junction and cervicothoracic junction,
were obtained according to standard protocol without and with
intravenous contrast.
CONTRAST: 12mL MULTIHANCE GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN
COMPARISON: None.
FINDINGS:
Cervical medullary junction and visualized intracranial structures
unremarkable. No focal cord signal abnormality or enhancement.
Visualized paravertebral structures unremarkable.
C2-3: Negative.
C3-4: Shallow disc osteophyte complex greater to left. Slight
impression left ventral aspect of the thecal sac crowding the left
ventral nerve roots. Left uncinate hypertrophy with mild left
foraminal narrowing.
C4-5: Broad-based disc osteophyte complex. Crowding of the ventral
nerve roots bilaterally. Uncinate hypertrophy with mild to moderate
foraminal narrowing greater on the left.
C5-6: Broad-based disc osteophyte complex with focal component left
posterior lateral position with impression upon left ventral nerve
roots and minimal left-sided cord contact. Left uncinate hypertrophy
with moderate to marked left foraminal narrowing.
C6-7: Broad-based disc osteophyte complex slightly greater to the
right. Minimal encroachment upon ventral nerve roots. Uncinate
hypertrophy with mild foraminal narrowing greater on the left.
C7-T1: Minimal bulge. Right perineural cyst incidentally noted.
Minimal bilateral foraminal narrowing.
T1-2: Minimal bulge with greater extension right foraminal position
with mild right foraminal narrowing.
T2-3: Bulge with mild spinal stenosis with minimal posterior cord
deflection. Mild left foraminal narrowing.
IMPRESSION:
Degenerative changes greater on the left C3-4 through the C5-6 level
with bilateral changes at the C6-7 level. Summary of pertinent
findings include:
C3-4 shallow disc osteophyte complex greater to left. Slight
impression left ventral aspect of the thecal sac crowding the left
ventral nerve roots. Left uncinate hypertrophy with mild left
foraminal narrowing.
C4-5 broad-based disc osteophyte complex. Crowding of the ventral
nerve roots bilaterally. Uncinate hypertrophy with mild to moderate
foraminal narrowing greater on the left.
C5-6 broad-based disc osteophyte complex with focal component left
posterior lateral position with impression upon left ventral nerve
roots and minimal left-sided cord contact. Left uncinate hypertrophy
with moderate to marked left foraminal narrowing.
C6-7 broad-based disc osteophyte complex slightly greater to the
right. Minimal encroachment upon ventral nerve roots. Uncinate
hypertrophy with mild foraminal narrowing greater on the left.
C7-T1 minimal bilateral foraminal narrowing.
T1-2 minimal bulge with greater extension right foraminal position
with mild right foraminal narrowing.
T2-3 bulge with mild spinal stenosis with minimal posterior cord
deflection. Mild left foraminal narrowing.
Brief Answer:
Degenerative spine changes on MRI require proper care
Detailed Answer:
Hello,
Mri findings are suggestive of degenerative changes at multiple cervical levels and require good physiotherapy, neck collar and neuromodulator drugs like pregabalin, gabapentin or amitriptyline.
Neurosurgical consultation may be taken to assess clinical findings due to this compression and need of surgical intervention.
Regards
Dr Neeraj XXXXXXX
Neurologist
Degenerative spine changes on MRI require proper care
Detailed Answer:
Hello,
Mri findings are suggestive of degenerative changes at multiple cervical levels and require good physiotherapy, neck collar and neuromodulator drugs like pregabalin, gabapentin or amitriptyline.
Neurosurgical consultation may be taken to assess clinical findings due to this compression and need of surgical intervention.
Regards
Dr Neeraj XXXXXXX
Neurologist
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Sonia Raina
Answered by
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