[MelodyL]

This is his 3rd in about 7 years. Alan thinks his PN between his toes is caused by something going on with his back (but he doesn't have any significant back pain). For instance, he's never held his back or lower area and went "oh my aching back". NEVER!!

Okay, here we go!!

It says "FINAL REPORT"

Reason for Exam
LS RADICULOPATHY

MRI study of the lumbar spine without contrast.

I'll skip all the stuff and get to the end.

Impression:

Multilevel degenerative disc disease resulting in stenosis of the spinal canal and neural foramina.
More pronounced stenosis of the spinal canal it is seen at L3-L4 and L4-L5, without evidence for compression on the roots of the cauda equina.

Severe narrowing of the neural foramina is seen in on the right at L5-S1. Moderate to severe narrowing is seen on the left at L5-S1 and bilaterally at L4-L5.

His neuro said she wants him to bring in his other films on Monday so she can compare everything. We have them all ready to go.

I asked him "what did she say about the MRI?" and he says 'well, she said my back was VERY BAD". He doesn't like to ask questions.

Anybody see anything on this impression that yells out 'THIS IS WHAT IS CAUSING ALAN'S PN BETWEEN HIS TOES"

thanks much

Melody