tag0620
Distinguished member
- Joined
- Nov 18, 2008
- Messages
- 175
- Diagnosis
- 11/2008
- Country
- US
- State
- ut
- City
- park city
So...does this mean that they're saying this has now turned into a myelopathy? What exactly does "remodeling" mean? I would think it's not good...but any insight?
We also had his blood thinner dosages "upped" today..his levels were too low.
Anyway...wouldn't this in "normal" situations call for immediate surgery?
Anyway...what do you think?
Examination: MRI thoracic spine without contrast
Indication: Thoracic disc w/suspected myelopathy
Technique: Sagittal T1, T2, STIR, axial T1 and T2 images were obtained. In addition sagittal real-time TRUEFISP images were obtained the cervical spine, during active flexion and extension
Findings: There is normal vertebral body height and alignment. Marrow signal is normal
Focal central disc extrusion at T6-T7, resulting in effacement of the ventral CSF space and remodeling of the ventral cord is unchanged from prior study. Subtle increased T2 signal in the ventral cord is again noted. No formaminal narrowing is noted at this level.
Remainder of the intervertebral discs are normal without bulging. Visualized abdominal and paraspinal soft tissues are unremarkable.
Dynamic flexion-extention imaging of the cervical spin demonstrate no evident stenosis.
IMPRESSION: Unchanged focal central disc extrusion at T6-T7, with effacement of the ventral CSF space and cord remodeling. Increased T2 and STIR signal in the ventral cord at this level, is unchanged, and likely secondary to compressive myelopathy.
THANK YOU!
Tracy
We also had his blood thinner dosages "upped" today..his levels were too low.
Anyway...wouldn't this in "normal" situations call for immediate surgery?
Anyway...what do you think?
Examination: MRI thoracic spine without contrast
Indication: Thoracic disc w/suspected myelopathy
Technique: Sagittal T1, T2, STIR, axial T1 and T2 images were obtained. In addition sagittal real-time TRUEFISP images were obtained the cervical spine, during active flexion and extension
Findings: There is normal vertebral body height and alignment. Marrow signal is normal
Focal central disc extrusion at T6-T7, resulting in effacement of the ventral CSF space and remodeling of the ventral cord is unchanged from prior study. Subtle increased T2 signal in the ventral cord is again noted. No formaminal narrowing is noted at this level.
Remainder of the intervertebral discs are normal without bulging. Visualized abdominal and paraspinal soft tissues are unremarkable.
Dynamic flexion-extention imaging of the cervical spin demonstrate no evident stenosis.
IMPRESSION: Unchanged focal central disc extrusion at T6-T7, with effacement of the ventral CSF space and cord remodeling. Increased T2 and STIR signal in the ventral cord at this level, is unchanged, and likely secondary to compressive myelopathy.
THANK YOU!
Tracy