I am hoping I can get some advice. I apologize in advance for the long post.
I recently had a cervical MRI done due to neck pain, numbness, tingling, etc. This is what the impression was:
Impression:
- Multilevel degenerative changes of the cervical spine, most advanced at C5-C6, where there is moderate spinal canal, severe right neural foraminal, and moderate left neural foraminal stenosis.
- C4-5 mild spinal canal with moderate right and mild left neural foraminal stenosis.
Addendum:
As mentioned in body of report, visualized osseous structure marrow signal is decreased. While findings may be related to marrow reactivation secondary to anemia, other etiologies, including infiltrative process, is not excluded on the basis of this noncontrast examination. Recommend clinical correlation and correlation with CBC. If clinically indicated, contrast enhanced cervical spine MRI may be obtained for further evaluation.
I called my rheumatologist about the results as he ordered the MRI. I asked about the bone marrow. He said it could indicate multiple myeloma. He also said he tested me for multiple myeloma a few months ago and I was fine. But I checked my lab results and the only tests that matched up with multiple myeloma tests was the CBC.
My question is: Does anyone think I should pursue this, or am I overreacting? And what type of doctor would I contact to follow up on the MRI results? Should I ask my rheumatologist for other blood tests indicated for multiple myeloma?
Some background: I have been anemic off and on throughout my life. But in June 2014, I was severely anemic which led to two blood transfusions followed by 2 sessions of IV iron. I also have a rare autoimmune disorder called relapsing polychondritis. It basically attacks cartilage and cartilage-like parts in the body (eyes, heart, lungs, etc.)
Thank you!
