I have some questions in regard to a spinal MRI with and without contrast.
This will be rather lengthy so get a cup of coffee! I hope someone understands what all this means. I have not have my follow up with my Neurologist yet, it will be several more weeks. They did call and requested that I take 2 Tramodols every four hours. I have not been complaining about my pain. I have just been sucking it up. I guess they did not like that. They did not explain anything however. Here is the list.
Negative for acute bone marrow edema. The heights of the cervical verebral bodies are quite well maintained. The disc heights are intact. Negative for syrinx. The cervical cord is unremarkable. Negative for Arnold Chiari Malformation. There is no abnormal enhancement with contrast material.
At C1-C2, the relationships are well maintained. At C2-C3 there is no signifcant compromise. At C-3-C4, there is minimal right exit foraminal narrowing, more markedon the left. At C6-C7, there is mild left exit formaminal narrowing. At C-7-T1, there is mild left exit foraminal narrowing.
1. At C3-C4, There is minimal right exit foraminal narrowing.
2. At C5-C6, there is mild bi-lateral exit foraminal narrowing, more marked on the left.
3. At C-6-C7, There is minimal left exit foraminal narrowing
4. At C7-T1, There is mild left exit foraminal narrowing.
Negative for disc herniation at any level studied. Negative for significant disc/osteophyte complex.
The vertabral body heights and marrow signal are within normal limits.
At L1-2, L3-4 and L5, the disc heights are maintained. There is normal disc hydration. Mild facet joint and ligamentum flavum hypertropy is noted at the L3-4 and L4-L5 levels without significant lateral recess or formaminal narrowing. No nerve root impingement is evident.
At L5-S1, there is preservation of the disc height, but diffuse disc desiccation. There is broad-based posterior disc bulging without evidence of focal disc herniation or central spinal stenosis. Minimal facet joint and ligamentum flavom hypertropy are noted without significant lateral recess or forminal narrowing. No nerve root impingement is seen. Incidental note of a Tarlov cyst at the S2 level on the left. The marrow signal within the sacrum is unremarkable. The visualized portions of the S1 joints appear normal.
1. Mild degenerative disc disease at L5-S1. No disc herniation, spinal stenosis or nerve root impingement.
2. Mild lower lumbar facet joint DJD and ligamentum flavum hypertrophy without significant lateral recess narrowing or foraminal narrowing.
okay..so why did they make such a big deal out of this. Yes, I do have pain but I thought everyone does?