MRI Neck w/ contrast

[Max2289]

Hi ! Just wondering if anyone could help me understand this report? I’ve had very little information from my doctor, and was wondering if someone could break this down for me?

[Gameo]

Having taken a look at your letter as best as l can on my iPad l can only say this is a case of you getting the wrong letter sent to you. This bears all the remarks of how to fly a jet aircraft and has no value to anyone suffering from ra.

[helixhelix]

You have a small area on your left jaw where your veins are not as they should be - which you may or may not be able to see/feel? This hasn't changed since you had an MRI a year ago, and there is no sign of a tumour or anything significant. Surrounding elements such as your salivary glands also ok. However you do have some arthritic changes in your upper neck.

The recommendation is to repeat in 6-12 months.

[ruth_p in reply to helixhelix]

I’m glad you understood it 🙂

[Max2289 in reply to helixhelix]

Thanks, helixhelix. You have been a tremendous help!

[Hidden]

Hi Max2289

I cannot get a good view of the picture on tiny phone screen but ‘cervical’ refers to neck vertebrae; implication of any damage to C3 is perhaps less serious, as C1 or Atlas supports the head, like Atlas in mythology who held the planet up on one hand.

Best to discuss with doc and get it explained.

[ITYFIALMCTT]

I agree with helixhelix 's interpretation and I think your GP will also agree with H2 tho' I'm assuming that "osseous fusion" is why H2 mentions arthritic changes and I wonder if there's an alternative explanation.

Don't answer if this is intrusive, but looking at the "C2-C3 vertebral segmentation failure" - there are several more formal names for it but do you have Klippel-Feil Syndrome? wheelessonline.com/ortho/kl...

Or something similar? This might account for the "osseous fusion" etc. Klippel-Feil covers a spectrum from very obvious anatomical anomalies and wide-ranging systemic influences to something that tends to be an incidental finding (like a failure to segment C2-C3 in utero - this is the commonest presentation, afaik).

I may be wrong but thought I should mention it.

[Max2289 in reply to ITYFIALMCTT]

There was no mention of KF syndrome, but I will definitely have that discussion with my GP next week. Thanks, ITYFIALMCTT