Welcome to my degeneration

I carry these two reports with me in case I need to persuade others, especially those in the medical profession, of my pain. Long story short, I have inherited bad cartilage genetics. These reports indicate the likelihood of disc degenerative disease, which means my discs are collapsing and pinching many nerves, including the classic sciatic nerve, which my parents called sciatica. I also have spondylitic spondylolisthesis illustrated below. I will post a variety of my ailments, but one a week is probably enough. Today it’s my back and right hip that are giving me the what-for.

MRI CERVICAL SPINE

Patient Report

Name VICTOR IRVIN ENNS

Study Description MR C-SPINE – PROTOCOL

HEALTH SCIENCES CENTRE

Name: ENNS, VICTOR IRVIN DOB: 03 Apr 1955

Gender: M

Requesting Location: Dr’s Office

Exam Date: 24 Apr 2015 MRI CERVICAL SPINE

Indication: 2-month history of pins and needles sensation going down both arms.

Technique: Sagittal T1, T2, and axial T2, 2D MEDIC

Sequences of the cervical and upper thoracic spine from C1 to T4.

Findings: No prior study is available for comparison.

 

There is mild loss of the normal cervical lordosis. There is mild 2-3 mm anterolisthesis of C3 on C4 and 2 mm or less retrolisthesis of C5 on C6 and C6 on C7. No significant marrow signal abnormality is seen. There is no evidence of a fracture or dislocation.

No signal abnormality is seen in the cervical and visualized upper thoracic spinal cord. There is no evidence of a Chiari malformation.

There is mild facet joint OA at the C2-3 level. At the C3-4 level, there is a prominent left foraminal osteophyte along with facet joint OA, severe on the left side. This results in severe left-sided foraminal narrowing with presumed compression of the left C4 nerve root. There is no central canal narrowing. At the C4-5 level, there are bilateral uncovertebral osteophytes and facet joint OA resulting in moderate to severe bilateral foraminal narrowing without central canal narrowing. At the C5-6 level, there is a broad- based right paracentral and foraminal disc-osteophyte along with bilateral facet joint OA. There is moderate to severe right-sided foraminal narrowing and mild to moderate left- sided foraminal narrowing without significant central canal narrowing. At the C6-7 level, there is a broad-based central / right paracentral / right foraminal disc-osteophyte with evidence of moderate to severe right-sided foraminal narrowing, mild left-sided foraminal narrowing, and moderate central canal narrowing.

Impression:

Multilevel degenerative changes in the cervical spine as described above.

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Name VICTOR IRVIN ENNS

CT SCAN LUMBAR SPINE UNINFUSED

Result Details

Status Finalized

Impressions Not Available

SELKIRK & DISTRICT GENERAL HOSPITAL

Name: ENNS, VICTOR I DOB: 03 Apr 1955 Gender: M

Exam Date: 16 Jan 2017

CLINICAL INFORMATION: Low back pain, pain radiating to right testicle, bilateral foot neuropathies, left ankle fusion. Bilateral hip arthroplasties.

CT LUMBAR SPINE UNINFUSED Comparison: CT KUB October 24, 2016. Imaging from mid L1 to the top of S2 was performed.

L1-2: Severe degenerative disc narrowing with associated vacuum phenomenon and endplate degenerative changes are noted. A shallow associated broad posterior disc osteophyte complex is noted. Mild to moderate bilateral neural foraminal narrowing is noted. The central canal is adequately maintained with no definite nerve root compression seen.

L2-3: No significant abnormality is identified.

L3-4: A shallow left foraminal/far lateral disc protrusion is noted with associated mild to moderate left neural foraminal narrowing. The central canal is maintained.

L4-5: Mild bilateral facet osteoarthritis is noted. No disc protrusion is identified. No significant central canal or neural foraminal stenosis is demonstrated.

L5-S1: 12 mm of anterolisthesis of L5 on S1 vertebral bodies is noted (borderline grade 1/grade 2), similar to previous. Bilateral LS pars defects are present. Advanced degenerative disc narrowing with vacuum effect is noted. No associated posterior disc protrusion is demonstrated. There is a moderate to severe bilateral neural foraminal narrowing, worse on the left, with potential for irritation of the exiting L5 nerve roots bilaterally. The central canal is maintained. Mild bilateral facet osteoarthritis is noted.

IMPRESSION: Degenerative changes as described above including borderline grade 1/grade 2 L.5-S1 spondylitic spondylolisthesis with significant neural foraminal narrowing and potential for irritation of the exiting L5 nerve roots bilaterally, more so on the left. Clinical correlation is needed.

 

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