Can anyone tell me what THIS MRI means? Dr. is out until next week so I Got report from lab.

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BDT816
New Member


Date Joined Oct 2009
Total Posts : 1
   Posted 10/4/2009 10:03 PM (GMT -7)   
I am a 44 yr old female. 5'1. 108lbs.

History of :
CML-In remission 1.8 yrs.
Had a radical Hysterectomy in December due to cancer cells in uterine lining.
Had carpal Tunnel surgery on both hands in July --- I woke to both hands numb and very painful. Had No prior signs of carpal tunnel so I questioned diagnosis but ... had surgery anyway. Since then... Occupational Therapy of 3 months (41 visits) was stopped due to plateauing. My strength DECREASED -40 in both hands.

Trying to rule out MS. 2- MRI's of brain was done. Unable to rule out MS) But not able to confirm either. So... due to weakness , stiffness and pain in arms and occasionally legs... Another MRI done.

Have had many procedures and tests done-- Doctor(s) have ruled out the following:

NEGATIVE:
Fybromyalgia
Rheumatoid Arthritis
Lupus
Osteoarthritis

Cannot rule out MS
Also Waiting on B-12 tests results

My doctor is out until next week but I was able to get a copy of the report:


************************************************** **

CLINICAL INDICATION: Apparent Myelopathy, pain in limb. Bilateral arm pain, right greater than left, weakness, Leg weakness. No back pain

MRI-DORSAL WITHOUT CNTRST 9/30/09

TECHNIQUE: Routine sequences of the thoracic spine w/o contrast.

FINDINGS:

*On the localizer view there is hypertrophic degenerative change at C4/5 and C5/6 in the lower cervical spine which is not well demonstrated on this study.

*The thoracic vertebral bodies are normal in height and alignment. There is a normal smooth kyphotic curvature. Disc spaces are grossly normal in height and signal.

*On the sagittal images there is a focal extradural "defect" projecting form the posterior T8/9 interspace. on the right side.

*On the axial images there is a focal extradural "defect" measuring 6mm in width and a 4mm in thickness consistent with a disc protrusion and hypertrophic changes. This impinges on the right saide of the thoracic cord but does not (to) cause significant central spinal cord stenosis.

The remained of the disc spaces are intact. Thoracic cord is normal in caliber and position.

CONCLUSION: Degenerative changes AT c4/5 AND c5/6. Focal extradural "defect" with small disc protrusion and hypertrophic changes at T8/9 on right side.

No spinal canal stenosis. idea

Gretchen1
Forum Moderator


Date Joined Jan 2007
Total Posts : 3550
   Posted 10/6/2009 5:13 PM (GMT -7)   
Obviously we can't diagnose you or read an MRI for you.  It does seem like you have a lot of disc issues with bulges etc.  I don't see any indication of a spinal lesion.  Do you or the doctor suspect MS?  If you do, then a brain MRI is in order.  While MS does affect the brain and spine, it is fairly rare to have just spinal lesions.  It is more common to have brain lesions without spinal lesions or to have both. 
Gretchen  ~  diagnosed with MS July 2006
 
I have no lesions on my soul and so I will live with no limits.


tkeys
Regular Member


Date Joined Jun 2009
Total Posts : 31
   Posted 10/13/2009 7:09 AM (GMT -7)   
I think along with a brain MRI, they should also use IV contrast. It looks like this spinal MRI was without contrast, so I don't think it could tell you much in the way of diagnosing MS.  If your Dr. suspects MS, he would order brain/brain & spinr MRI with contrast. I think that is basically the standard for an MS exclusion. I would discuss that with your doctor at your next visit.  If he doesn't order that, it is either because he doesn't feel that it is necessary or they don't want to it for cost reasons (they are expensive). I would insist on one though if you are concerned, or find a doctor who will order one. Good luck! 
 
P.S. I was only 22 (23 now) when I got my first MRI, and when I got the brain and spine MRI it said I had disc bulging and some stuff on the spine and I have never had any back problems or nerve problems.  My Dr. seemed to think it was insignificant.  I don't think those findings are that uncommon probably.
Be completely humble and gentle; be patient, bearing with one another in love.
Ephesians 4:2
 
23 years old;
Feb 2009 Dx: Acute Disseminated Ecephalomyelitis (ADEM)
Aug 2009 Dx: Brainstem Encephalitis August
 
Meds: Provigil, Nexium, Lexapro, Adivan, Baclofen, Topomax
 
Did 1000 mg IV solumedrol for 8 days then weened for 1 and a half months from mid Feb-late March
 

A merry heart does good like a medicine; but a broken spirit dries the bones.

Proverbs 17:22

 

"This too shall pass."

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