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Old 04-09-2013, 12:12 AM
Dubious Dubious is offline
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Join Date: Jan 2009
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Dubious Dubious is offline
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Join Date: Jan 2009
Location: Paradise
Posts: 855
15 yr Member
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Quote:
Originally Posted by steinec View Post
I have congenital spinal stenosis, had cervical surgery '09, some improvement. This relates to my lumbar area, can you assist in converting into plain understandable english ? These are the highlights.....I comprehend much of the rest, it is more of the same I have heard over the years, this stuff is new to me and I can use some education before speaking to my Dr..

1. Bone marrow signal/fracture: In the interval, there has been development of edema involving the right pedicles at L4 and L5 with edema seen in the facets at L4 -- L5 on the right. Also, some edema involves the L4 spinous process and lamina with adjacent edema in the posterior paraspinous soft tissues noted.

2. L4-L5: Broad bulging annulus moderate to severe facet degenerative*change noted with moderate canal stenosis seen at this level. Moderate*right and mild left foraminal narrowing seen at this level.

3. Interval development of extensive edema involving the right facets at L4*-- L5 extending to the pedicles at the L4 and L5 levels with involvement*of the posterior elements at the L4 level. Some inflammatory edema seen*about the right facet joint and posterior elements at this level.*Imaging findings are favored to represent marked facet*arthropathy/inflammation.
Reading MRI results and then constructing various imaginary pain scenarios is truly putting the cart before the horse. Diagnostic imaging (MRI) is done to confirm or deny and facilitate a suspected diagnosis based off of the history taken and clinical examination findings. MRI impressions do nothing more than describe anatomy, both normal and abnormal, but do not "show" pain. Your doc determines whether or not the "findings" are significant for you.

I guess the take away here is that the MRI findings will help support or deny what your referring doc is already considering. They are almost never ordered as gateway to a "fishing expedition." I would simply ask your doc what each finding means and how it relates to your problems.
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