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Old 05-05-2009, 07:27 PM #1
JabbaTheNut JabbaTheNut is offline
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Join Date: May 2009
Location: Country of flying axes
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15 yr Member
JabbaTheNut JabbaTheNut is offline
New Member
 
Join Date: May 2009
Location: Country of flying axes
Posts: 2
15 yr Member
Question Explanation of lumbar spine MRI w/o contrast !!!

Can anyone explain to me what is the problem with my low back ?
Any opinions will be greatly appreciated.
My MRI report id as follows:

" CLINICAL INDICATION: Low back pain and lower extremity radiculopathy.

MRI of the lumbar spine w/o contrast.

TECHNIQUE: Multiplanar MRI was performed with sagittal and axial T1 and T2-weighted sequenses.

FINDINGS: The conus medullaris is normal in appearance, terminating at the T12-L1 disc level. The visualized distal thoracic cord is unremarkable.

The T12-L1 disc level is within normal limits.

At L1-L2, there is mild disc desiccation. There is no evidance of disc herniation, cetnral canal or foraminal stenosis.

At L2-L3 , there is mild disc desiccation and a mild disc bulge. There is no evidance of central canal or neural foraminal stenosis.

At L3-L4, there is disc desiccation and a mild disc bulge, with superimposed small focal left foraminal disc protrusion/herniation that mildly encroaches upon the neural foramen, but nerve root impingement. There are early facet degenerative changes. The central canal and right neural foramen are within normal limits. There is minimal, approximately 1-2 mm retrolisthesis of L3 on L4.

At L4-L5, there are mild degenerative disc changes, characterized be disc desiccation and very mild loss of disc height. There is a circumferential disc bulge, with a superimposed central disc protrusion/herniation, with a minimal subligamentous extruded component that impinges upon the anterior thecal sac and which, in combination with facet arthrosis with hypertrophy of the ligamentum flavum, result in moderate central canal stenosis. The circumferential disc bulge extends into both neural foramina. There is moderate right and mild left neural foraminal stenosis.

At L5-S1, there is disc desication, a mild disc bulge and facet degenerative changes. There is no evidence of central canal or neural foraminal stenosis.

The visualized thoracolumbar vertrbrae appear intact and demonstrate normal marrow signal.

IMPRESSION:

1. L4-L5 circumferential disc bulge and superimposed central disc protrusion/herniation with a very small subligamentous extruded component that impinges upon the anterioir thecal sac and which, in combination with facet arthrosis and hypertrophy of the ligamentum flavum, result in moderate central canal stenosis. There is moderate right and mild left neural foraminal stenosis.

2. L3-L4 mild disc bulge and superimposed focal left foraminal disc protrusion/herniation that mildly encroaches upon the left neural foramen, but without nerve root impingement. There are early facet degenerative changes. The central canal and right neural foramen are within normal limits.

3. L2-L3 and L5-S1 mild disc bulge. "


Thank you so much for your response in advance.
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