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Old 07-14-2014, 02:25 PM #1
rks_22303 rks_22303 is offline
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Exclamation Help me understand my MRI Please

MRI report:
Procedures: Spine lumber MRI WO Contrast

Body of the report: Diffuse degenerative changes are present. All of the discs demonstrate slight to mild degenration. At L2-S1 there is a diffuse, slight disc bulge and tiny right posterolateral and left paracentral annular tears. These casus slight narrowing of both lateral recesses. No thecial sac or nerve root compression is seen.

There is a diffuse, mild disc bulge at L4-5. There is also a mild right posterolateral disc protrusion. Minimal endplate spurring is present along with minimal facet arthropathy. Ther right -sided disc protrusion does mildly narrow the lateral recess, and abuts, but does not clearly compress the right L5 nerve root origin. Within the foramen, the disc protrusion probably does impress on the right L4 nerve root.

There is a difuse, slight disc bulge on L3-4 along with normal facet antropathy. No thecal sac or nerve root impingement is seen.
There is a moderate left paracentral disc protrusion which also extends posterolaterally at L2-3. This appears partially extruded. It causes moderate compression of the left anterolateral thecal sac, lateral recess and the left L3 nerve root orgin. No impress on the left L2 nerve root in the foramen is seen.

A minimal disc bulge is present at L1-2 and another at T12-L1. The conus appears normal. There is slight reversal of the lumbar lordosis.

Impression:
1. Moderate left-sided disc protrusion at L2-3, probably partially extruded. IT moderately compresses the thecal sac and the left L3 nerve root origin.
2. Probable impress on the right L4 nerve root in the foramen at L4-5 from a posterolateral disc protrusion.
3. Lesser degerative changes at the lumbar disc levels.
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Old 07-14-2014, 03:21 PM #2
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Quote:
Originally Posted by rks_22303 View Post
MRI report:
Procedures: Spine lumber MRI WO Contrast

Body of the report: Diffuse degenerative changes are present.
All of the discs demonstrate slight to mild degenration.
At L2-S1 there is a diffuse, slight disc bulge and tiny right posterolateral and left paracentral annular tears.
These casus slight narrowing of both lateral recesses. No thecial sac or nerve root compression is seen.

There is a diffuse, mild disc bulge at L4-5.
There is also a mild right posterolateral disc protrusion.
Minimal endplate spurring is present along with minimal facet arthropathy. Ther right -sided disc protrusion does mildly narrow the lateral recess, and abuts, but does not clearly compress the right L5 nerve root origin.
Within the foramen, the disc protrusion probably does impress on the right L4 nerve root.

There is a difuse, slight disc bulge on L3-4 along with normal facet antropathy. No thecal sac or nerve root impingement is seen.
There is a moderate left paracentral disc protrusion which also extends posterolaterally at L2-3. This appears partially extruded.
It causes moderate compression of the left anterolateral thecal sac, lateral recess and the left L3 nerve root orgin. No impress on the left L2 nerve root in the foramen is seen.

A minimal disc bulge is present at L1-2 and another at T12-L1. The conus appears normal. There is slight reversal of the lumbar lordosis.

Impression:
1. Moderate left-sided disc protrusion at L2-3, probably partially extruded. IT moderately compresses the thecal sac and the left L3 nerve root origin.
2. Probable impress on the right L4 nerve root in the foramen at L4-5 from a posterolateral disc protrusion.
3. Lesser degerative changes at the lumbar disc levels.
I'll bold the main points to look for in our sticky thread here -
http://neurotalk.psychcentral.com/thread115890.html

If you can share your pain/symptoms also, it will help others to relate the MRI results to those.
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Old 07-21-2014, 02:14 PM #3
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Thanks for the reply. I get ocassional tingling in my fingers of my feet. When I bend I get pain in my lower back. Thanks for all your help.
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Old 07-21-2014, 11:26 PM #4
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Quote:
Originally Posted by rks_22303 View Post
Thanks for the reply. I get ocassional tingling in my fingers of my feet. When I bend I get pain in my lower back. Thanks for all your help.
Exactly which toes of what foot (feet) do you experience tingling (what are "fingers of feet")? Do you have any weakness (tripping over toes, leg giving out) or atrophy of particular areas of your leg, How did your injury occur and when? If you know, what have you been told about any abnormal clinical exam findings? Do you experience any loss of control of bowel or bladder? Sorry, but MRI findings by themselves are of little significance, most times! Must have subjective complaints and if known, exam findings to really correlate!
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Old 07-23-2014, 09:20 AM #5
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Quote:
Originally Posted by Dubious View Post
Exactly which toes of what foot (feet) do you experience tingling (what are "fingers of feet")? Do you have any weakness (tripping over toes, leg giving out) or atrophy of particular areas of your leg, How did your injury occur and when? If you know, what have you been told about any abnormal clinical exam findings? Do you experience any loss of control of bowel or bladder? Sorry, but MRI findings by themselves are of little significance, most times! Must have subjective complaints and if known, exam findings to really correlate!
Here are my symptoms:
1. No injury. Age : 54 Male
2. My toes and other fingers of my feet (Both feet) are getting a tingling sensation once in a while.
3. When I squat and bend forward I get a slight lower back pain.
4. Bladder and bowel movements are in control except that I am urinating more than what I used to before. No diabetes though.
5. Generally weak. may be twice in the last six months I tripped and the left leg gave up momentarily.
6. Abdonomial exam : Doctor told me it is gas. I am also farting in the morning more than unusual compared what it was before this episode. This happens 10 minutes before bowel movement.
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