Hello and thank you for your question.The simple translation to your imaging study is as follows. "Several punctate foci of white matter hypertintensity on long TR sequences in the subcortical white matter of each frontal lobe. As isolated findings, these are most likely of limited clinical significance, however, their nature as initial manifestations of aging demyelination or axonal shearing injury cannot be excluded." means that the frontal lobe of your brain has evidence of aging and damage that is commonly seen in patients who have a history of high cholesterol and/or hypertension. The fact that these findings are there does not mean that you will have any kind of symptoms. These findings are very commonly seen in patients after the age of 40.
"Right foraminal herniation at C3/4 with impingement upon exiting c4 root. Right paracentral herniation at c4/5 with cord impingement. Mild left bony foraminal stenosis secondary to asymmetric uncovertebral joint hypertrophy. Bulging disc at c5/6 with mild bilateral foraminal stenosis. Bulging disc at c6/7 without stenosis." means that in your neck at level of the third and 4th vertebrae in your neck there is a pinched nerve. The image shows that the disc between the C4 and C5 is herniated and it pressing on the spinal cord. There is evidence of similar nerve root compression at the C5-C6 level but it is very mild. These finding essentially mean that you are most likely having a lot of pain and weakness in your arms. You most likely find it very difficult to find a comfortable position to sleep. Many patients with these findings also have numbness and tingling in their arms.
The MRI shows that the white matter changes are in the frontal lobe. The findings could be from an injury from the car accident. There are no findings on the reading that would suggest that you have diabetes. A MRI of the brain (or any other part of the body) can not tell a physician that you have diabetes. The tightness in your neck is most likely from the herniated discs in your neck. This is most likely causing you to spasm of your neck muscles. You will need to be seen by neurosurgery regarding the MRI findings as it is suggesting that you spinal cord is getting compressed. PT can help a little bit but I think you should have a neurosurgical evaluation. Lowering your cholesterol and blood pressure will not make the lesions disappear as they represent damage.
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The muscles in your head and neck overlap. As such injury to your neck can lead to tightness that you feel in your head.
You're welcome. Please consult a neurosurgeon regarding your cervical spine findings. If you have no further questions, please rate our chat positively. Thanks!