in2018 i was misdiganosed with carpel tunnel syndrome my ex use to beat the shit out of me and before I left he gave it one more go my hands started burning after that hence diagnosis of carpel tunnel however the x spread rumors to an emt that worked at the only hospital in town and when I lost my balance and broke my back falling the hospital and every dr would not give me pain relief I could not figure out why then I found that it said all through out my file drug seeking so when I complained and went to dr 26 times because emy hands till hurt I was ignored. and the compression in my neck stayed until finally one dr asked if there was anything else going on I told him about my hands he checked my neck. now its says I have myelomalacia. my symptoms are getting worse I can stand longer then 20 min I m in so much pain. i can sit walk I have migrains all the time what is going on ? Notes: (MRI Spine Lumbar w/o Contrast) Reason For Exam: RADICULOPATHY, CERVICAL REGION REPORT MRI Spine Lumbar W/O Contrast EXAM DATE: 3/4/2022 1:30 PM PST CLINICAL INDICATION: RADICULOPATHY, CERVICAL REGION COMPARISON: CT lumbar spine 01/06/2022. TECHNIQUE: MRI of the lumbar spine is performed on a high-field magnet without contrast including sagittal and axial T1 and T2 weighted sequences. FINDINGS: Alignment: Chronic 30-40% compression deformity of L1 vertebral body with prior kyphoplasty. Cement is seen extending into the disc space. There is 5 mm retropulsion from posterior superior margin with some narrowing of spinal canal. AP diameter spinal canal at this level is 9 mm. Ligamentum flavum hypertrophy and facet osteoarthritis is noted. Mild disc desiccation and 3 mm circumferential annular bulge at L2-L3 with mild to moderate narrowing of spinal canal. AP diameter spinal canal is 10 mm. Disc desiccation and mild circumferential annular bulge with ligamentum flavum hypertrophy and moderate facet osteoarthritis. Mild narrowing of spinal canal. AP diameter spinal canal is reduced to 12 mm at this level. Mild disc desiccation and 3 mm circumferential annular bulge at L4-L5. Changes of right partial laminectomy. Spinal canal measures 12 mm at this level. Disc desiccation and 3 to 4 mm circumferential annular bulge at L5/S1. AP diameter spinal canal is 14 mm. Mild to moderate facet osteoarthritis is seen. Mild to moderate narrowing of neuroforamina is seen at L4-L5 and L5-S1. IMPRESSION: 1. 1. Chronic compression deformity of L1 prior kyphoplasty and retropulsion from posterior superior margin with narrowing of spinal canal. No significant cord compression. 2. Multilevel degenerative disc disease and spondylitic changes as detailed above. Mild to moderate spinal canal stenosis at multiple levels as detailed above. Changes are most severe at L2-L3. Workstation name: KHOSLA-PC ________________ ****Final Report**** Dictated: 03/04/2022 3:01 pm Dictated By: KHOSLA M.D., ANIL Electronic Signature: 03/04/2022 3:05 pm Signed By: KHOSLA M.D., ANIL AK Transcribed: 03/04/2022 3:01 pm Notes: (MRI Spine Cervical w/o Contrast) Reason For Exam: RADICULOPATHY, CERVICAL REGION REPORT MRI Spine Cervical W/O Contrast EXAM DATE: 3/4/2022 1:30 PM PST CLINICAL INFORMATION: RADICULOPATHY, CERVICAL REGION COMPARISON: CT cervical spine 1/6/2022. Technique: Multiple MR images of cervical spine without contrast. FINDINGS: Spinal segments are anatomically aligned. Changes of anterior cervical discectomy with surgical hardware is seen at C5-C6 resulting in some artifact. Spinal segments are otherwise anatomically. Intravertebral junction is normal. Focal increased T2 signal is seen in the posterior portion of spinal cord opposite C5-C6 suggesting myelomalacia. Remaining spinal cord is unremarkable. On axial images mild disc osteophyte complex is seen at C3-C4. Spinal canal at this level measures approximately 10 mm. Uncovertebral hypertrophy is noted at C5-C6 with mild to moderate narrowing of both neuroforamina. AP diameter spinal canal at this level is 9 mm. Mild disc osteophyte complex C6-C7. AP diameter spinal canal is 9 mm at this level. IMPRESSION: Changes of anterior cervical discectomy and spinal fusion at C5-6 as described above. Slight increased T2 signal in the posterior spinal cord at C5-C6 is suggestive of myelomalacia.
posted on
Tue, 1 Aug 2023