What does my MRI reading mean?

[monrod209]

I had,  a slip and fall back in January. I have a lot of pain on my right side of neck, right shoulder which shoots down my arm to elbow, right shoulder blade to mid right side of back tends to have constant aching to burning sensation. I can not lift my right arm up or lift gallon of milk to pour glass at times. Can somebody please tell me in English what the medical report results REALLY mean? This is what the reports read:

EXAM: MRI CERVICAL SPINE WITHOUT CONTRAST

FINDINGS:   

Alignment: Stable reversal of the normal cervical lordosis centered at the level of C4-5.

Vertebral Bodies: Unremarkable.

Discs: Early multilevel intradiscal signal loss.

Cervical Spinal Cord: Unremarkable. Subcentimeter Tornwaldt cyst.

C2-3: No significant central spinal stenosis with facet arthrosis which contributes to borderline bilateral foraminal stenosis.

C3-4: Shallow posterior disc bulge with resultant borderline central spinal canal stenosis with midline AP diameter of sac measuring approximately 10 mm. Facet arthrosis and early uncovertebral spondylosis with mild right and moderate left foraminal stenosis.

C4-5: Broad-based posterior disc bulge with borderline central spinal stenosis with midline AP diameter of sac measuring approximately 10 mm. Facet arthrosis and uncovertebral spondylosis with mild to moderate right and moderate left foraminal stenosis.

C5-6: Broad-based posterior disc bulge/disc marginal osteophyte complex with resultant borderline central spinal canal stenosis with midline AP diameter of the thecal sac measuring approximately 10 mm. Facet arthrosis and uncovertebral spondylosis with resultant moderate to severe bilateral foraminal stenosis.

C6-7: Broad-based posterior disc bulge/disc marginal osteophyte complex with resultant borderline central spinal canal stenosis with midline AP diameter of sac measuring approximately 10 mm. Facet arthrosis and uncovertebral spondylosis with moderate to severe bilateral foraminal stenosis.

C7-T1: There is no significant central spinal canal nor foraminal stenosis. 

IMPRESSION:

Multilevel cervical spondylosis as described above with borderline central spinal canal stenoses from C3-4 through C6-7 and multilevel variable foraminal stenoses, moderate to severe bilaterally at C5-6 and C6-7.




EXAM: MRI LUMBAR SPINE WITHOUT CONTRAST

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COMPARISON: Plain film 1/21/2016.

FINDINGS:   

Alignment: Dextroconcave curvature.

Vertebral Bodies: Early discogenic endplate changes, particularly at T11-12 and L5-S1 with a prominent Schmorl's node along the superior endplate of S1.

Discs: Multilevel intradiscal signal loss with early disc space narrowing.

Conus: Terminates at approximately L1-2.   

L1-2: No significant central spinal canal nor foraminal stenosis.

L2-3: Broad-based posterior disc bulge with an eccentric left paracentral to foraminal component. No significant central spinal canal stenosis is seen with borderline entry zone left lateral recess stenosis. Facet arthrosis and ligamentum flavum redundancy without significant foraminal stenosis.

L3-4: Broad-based posterior disc bulge without significant central spinal canal stenosis in setting of early epidural lipomatosis, facet arthrosis and ligamentum flavum redundancy. Borderline bilateral foraminal stenosis.

L4-5: Broad-based posterior disc bulge which, in combination with epidural lipomatosis and ligamentum flavum redundancy, contributes to a mild central spinal canal stenosis with midline AP diameter of the thecal sac measuring approximately 8 mm. Facet arthrosis is present with mild bilateral foraminal stenosis.

L5-S1: Broad-based posterior disc bulge without significant central spinal canal stenosis. Facet arthrosis is present with mild bilateral foraminal stenosis. 

IMPRESSION:

Multilevel degenerative disc disease of lumbar spine as described above with mild central spinal canal stenosis at L4-5 and early variable foraminal stenoses, mild bilaterally at L4-5 and L5-S1.

EXAM: MRI RIGHT SHOULDER WITHOUT CONTRAST


MRI tech notes state slip and fall. Complains of right shoulder pain with limited range of motion.

TECHNIQUE: On a Hitachi Oasis 1.2 tesla high field open magnet, multiple noncontrast MR images of the right shoulder were obtained, using the following pulse sequences:  Transverse proton density with fat saturation, coronal proton density, coronal T2 with fat saturation, sagittal T1, and sagittal T2 with fat saturation.

COMPARISON: None available.

FINDINGS: Acromioclavicular arthropathy is present, including inferiorly projecting osteophytes abutting the supraspinatus myotendinous junction. There is no os acromiale.

There is fairly extensive intermediate signal intensity in the supraspinatus tendon, consistent with severe tendinosis. Intermediate signal intensity tendinosis also extends to involve the adjacent infraspinatus tendon. A discrete tear is not identified. The teres minor tendon is normal. The subscapularis tendon shows mild tendinosis distally, without a discrete tear. The rotator cuff muscle bulk is preserved.

Detailed evaluation of the glenoid labrum and glenohumeral ligaments is slightly limited on a non-arthrogram MRI, coupled with mild motion. There is however heterogeneous signal intensity in the superior labrum, consistent with a SLAP tear. The posterior extent is difficult to determine. There are subtle areas of intermediate signal intensity along portions of the intra-articular portion of the long head biceps tendon, consistent with mild tendinosis, but a discrete tear is not identified, and distally, the tendon is situated appropriately within the bicipital groove.

No acute fracture or dislocation is identified. Subcortical bone marrow edema along the anterior-superior aspect of the humeral head is nonspecific. A bone contusion is not excluded, if the patient had direct trauma to this area. Bone marrow edema with subtle cystic changes are present in the greater tuberosity. These are probably related to the rotator cuff tendinopathy, and cystic changes are not typically not seen with bone contusions. There is also mild irregular osseous hypertrophy at the edge of the bicipital groove. Glenoid humeral joint articular surface cartilage is difficult to evaluate, but subchondral cystic changes or osteophytes are not seen to indicate significant degenerative change.

There is a small physiologic glenohumeral joint fluid. A small amount of fluid in the subacromial/subdeltoid bursa is consistent with mild bursitis.

IMPRESSION:

 
        1. Relatively extensive supraspinatus tendinosis, extending to involve the infraspinatus tendon as well, without a discrete measurable tear. There is milder tendinosis along the cephalad distal end of the subscapularis tendon, also without a discrete tear.
        2. Despite limitations, there is abnormal signal intensity and irregular morphology in the superior labrum, consistent with a SLAP tear extending posteriorly, although the exact posterior extent is slightly difficult to determine.
        3. Mild tendinosis along the intra-articular portion of the long head biceps tendon, without a discrete tear.
        4. Areas of subcortical bone marrow edema along the anterior-superior humeral head and at the greater tuberosity. The presence of small cystic changes and osseous hypertrophy at the greater tuberosity makes a direct injury/bone contusion less likely, and this is likely related to supraspinatus tendinopathy. Subcortical bone marrow edema along the anterior-superior aspect of the humeral head is a slightly unusual location for a bone contusion, and is nonspecific.
        5. Subacromial/subdeltoid bursitis.
        6. Acromioclavicular joint arthropathy, including inferiorly projecting osteophytes abutting the supraspinatus myotendinous junction.

Any help in understanding this will be greatly appreciated.

[rhillis]

bottom line is you had some real problems before any slip.  you need neck surgery.