what does these two test mean in laymans terms ? am I going to get better or am i going to end up in wheel chair? please help .. Do I have ALS? XR CERVICAL SPINE AP LATERAL ODONTOID W FLEXION AND EXTENSION - Details Printer friendly page--New window will open About This Test Details Narrative PROCEDURE: XR CERVICAL SPINE AP LATERAL ODONTOID WITH FLEXION AND EXTENSION EXAM DESCRIPTION: Cervical spine series, 5 views. Frontal, lateral, flexion, extension, and transoral odontoid views of the cervical spine. INDICATION: Cervicalgia. COMPARISON: Correlation against 4/21/09 study. FINDINGS: POSTPROCEDURAL CHANGE: Status post plate and screw fixation compatible with prior anterior cervical discectomy and fusion across the C5 through C7 levels, now with osseous bridging across the disc spaces. ALIGNMENT: There is mild focal kyphosis at C4-5. DISC SPACES: Moderate narrowing at T1-2, severe narrowing at C4-5 increased over the interval with disc osteophyte ridge formation. FACET JOINTS: Moderate degeneration at C7-T1. COMPRESSION DEFORMITY: None. PREVERTEBRAL SOFT TISSUES: Grossly unremarkable. CRANIOCERVICAL ALIGNMENT: Unremarkable. TRANSORAL ODONTOID VIEW: Odontoid process intact. FLEXION AND EXTENSION VIEWS: Angular translation at C4-5 at upper normal limits. Minor focal splaying of the posterior elements. Dictated by: Edwin Wang, MD on September 02, 2015 at 15:34 Transcribed by: Depew on September 03, 2015 at 3:00 Approved by: Edwin Wang, MD on September 03, 2015 at 12:23 Impression CONCLUSION 1. Interval increase in disc degeneration at C4-5 with prominent disc osteophyte ridge formation. Motion on flexion and extension views at this level is at upper normal limits. 2. Moderate facet degeneration C7-T1. 3. Osseous bridging seen in association with anterior cervical discectomy and fusion at C5 through C7 levels. No displaced fracture fragments. MRI LUMBAR SPINE WO CONTRAST - Details Printer friendly page--New window will open About This Test Details Narrative PROCEDURE: MRI Lumbar Spine without Contrast INDICATION: 53-year-old female with low back pain and bilateral leg numbness and weakness. She also has urinary urgency. She was in a motor vehicle collision December 2013. COMPARISON: Lumbar MRI 1/17/2008. TECHNIQUE: Multiplanar, multisequence MRI of the lumbar spine was performed. FINDINGS: VERTEBRAL ALIGNMENT: No change. Normal alignment. No excessive angulation or translation. VERTEBRAL BODIES: No significant change with mild degenerative changes. No fracture or bone destruction. DISCS: Mild progression of degeneration with narrowing at multiple levels. CONUS MEDULLARIS LEVEL: No change. Inferior endplate of L1. PARASPINAL SOFT TISSUES: Normal. GALLBLADDER: Incidentally noted gallstone. T12-L1: Midline caudal disc protrusion without impingement or stenosis. Similar to prior exam. L1-L2: Mild right paracentral disc protrusion. No impingement or stenosis. No change. L2-L3: Normal. L3-L4: Normal. L4-L5: Normal. L5-S1: Moderate midline to right paracentral disc protrusion 7 mm AP diameter, compared to 6 mm on the prior exam. This makes contact with the right S1 nerve root in the right lateral recess. There is a small amount of extruded material that extends along the midline posterior S1 vertebral body, without impingement. There is mild left facet osteoarthritis. Disc narrowing and posterior wedging as well as borderline right foraminal stenosis. Dictated by: Christopher Goeser, MD on August 13, 2014 at 19:52 Transcribed by: Malloy on August 13, 2014 at 23:29 Approved by: Christopher Goeser, MD on August 14, 2014 at 7:49 Impression CONCLUSION 1. Progression of multilevel moderate spondylosis of the lumbar spine and T12-L1. 2. At L5-S1, there is enlargement of the right paracentral disc protrusion which makes contact with the right S1 nerve root, but with the patient in the recumbent position, there is no impingement. Compared to prior exam, there has been some extrusion inferiorly of disc material along the posterior S1 vertebral body, without impingement. At the neural foramina at this level, there is some chronic foraminal stenosis. 3. No significant change at T12-L1 with small caudal disc extrusion. No impingement or stenosis. 4. No change in L1-2 minimal right paracentral disc protrusion. No impingement or stenosis. 5. Mild progression of spondylosis. 6. Incidentally noted small gallstone. Component Results There is no component information for this result.
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Wed, 23 Sep 2015

Tue, 12 May 2020
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Fri, 15 May 2020
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