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Old 10-25-2008, 05:47 AM
Jim M2 Jim M2 is offline
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Join Date: Sep 2006
Location: N. San Diego
Posts: 255
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Thanks Mark. I only have a CD, no films. I called the radiology lab. They said the scout images can be displayed if I play around with the CD software.

Here's portions of the radiologist's report. What little I understand seems to correlate with the various components of pain I experience. For all of you cervies, please comment if something jumps out at you.
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FINDINGS: Vertebral alignment is anatomic except for a grade one 2.5 mm retrolisthesis of C5 on 6. The spinal cord appears normal in caliber and signal. No Chiari malformation. Left sphenoid 8mm mucus inclusion cyst.

Occiput to C2: No significant ventral extradural defect.
...
C5-C6: Moderate disc space narrowing and desiccation. Anterior endplate osteophytosis and wide based protrusion. Right moderate and left mild uncovertebral osteophytosis with associated disc and retrolisthesis contribute to bilateral severe foraminal narrowing. The retrolisthesis and disc bulge abuts and slightly indents the ventral aspect of the cord.

C6-C7: Moderate disc space narrowing and desiccation. Anterior mild endplate osteophytosis. Mild circumferential bulge. Right moderate and left mild to moderate uncovertebral osteophytosis and associated disc contribute to right severe and left moderate foraminal narrowing. Mild facet degenerative change. Low T1 and high T2 signal assocated with the left greater than right C7 roots consistent with perineural cysts.

C7-T1: Normal disc height with desiccation. Right moderate and left severe facet degenerative change. Right mild and left moderate to severe foraminal narrowing from facet hypertrophic change. The left C7 and T1 facets adjacent to the joint show increased T2 and decreased T1 signal consistent with inflammatory, edematous or reactive marrow changes.
...

IMPRESSIONS:
1. C7-T1 right moderate and left severe facet degenerative change with right mild and left moderate to severe foraminal narrowing associated. The left C7 and T1 facets adjacent to the joint show inflammatory, edematous or reactive marrow changes. A facet joint fracture cannot be entirely excluded as MR is relatively insensitive to cortical bone. If the patient has pain localized to this region, consideration may be given to thin section CT to rule out fracture.
2. C6-C7 moderate disc degeneration, right greater than left uncovertebral osteophytosis and associated disc contributing to right severe and left moderate foraminal narrowing at the exiting C7 roots.
3. C5-C6 moderate disc degeneration with right greater than left uncovertebral osteophytosis and associated disc as well as retrolisthesis contributing to bilateral severe foraminal narrowing and slightly indenting the ventral aspect of the cord.
4. C4-C5 moderate disc degeneration with bilateral moderate uncovertebral osteophytosis and associated disc contributing to bilateral moderate to severe foraminal narrowing.
5. C3-C4 mild uncovertebral osteophytosis contributing to left greater than right mild forminal narrowing.
6. Multilevel facet DJD right C2-C3 mild to moderate, left C2-C3 mild, bilateral C3-C4 mild, bilateral C4-C5 mild, bilateral C6-C7 mild, right C7-T1 moderate, left C7-T1 severe, bilateral T1-T2 and T2-T3 mild.
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Jim

2003 L5S1 Charite
1981 L5S1 Discectomy
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