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Help understanding mri report

AnonymousUserAAnonymousUser Posts: 49,900
edited 06/11/2012 - 8:26 AM in New Member Introductions
Hello, I had a coulple of mri reports done and they seem vauge and to me doesnt really justify why im in so much pain according to my doctors that have read them.

It says the D11-12 disc is a little narrow, it shows schmoral node formation with a minimal bulg. the l1-2, l2-3 and l3-4 show minimal schmorl nod formation, but no evidence of any significant bulge. l5-s1 disc shows significant disc dehydration and there is a small bulge. this is causing slight flattening of the sac, but the central canal, lateral recesses and foramina appear normal in size. there is schmorl node formation seen in the lower thorasic and upper lumbar discs, but these discs otherwise appear normal appart from a minimal bulge at the t12-l1 level. disc degeneration at the l5-s1 level with marked disc dehydration and a small bulge.

Please help me understand this report more. My doctors that have read this report are saying that I shouldnt be in any pain. And that everything seems normal for my age (31)

I injured myself lifting a 200lb object several times, that I cant really describe because Im in the military. Im in serious pain 24/7 on top of the spinal pain, I think that every muscle that I have in my back is constantly in a spasm. this has been going on for over 9 months and I dont see a light or any tunnel. I have been fighting to get cortizone shots for some kind of relief but the doctors dont want to go in that direction. But that is what the back specialist recommended. I have these dvd's with images but I cant save them to my computer. Its like its own program and Iam not able to save them or do anything when it running. however I have compared them to others on a google search and they look worse than alot except those that have extreme cases and are completely imobilizing.

Thanks for reading and any info would be appriciated.
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Comments

  • :) hi and welcome to the forum! :H we are here to offer you support and answer what questions we can. i want to thank your for your military service. =D> i am sorry you are suffering so much. :''( have you tried any medications for the muscle spasms? there are some good medications available for that. talk to your doctor if you can.:-C i am sorry i cannot help you with your report. your doctor is the best person to help you with this. there are several sites that offer some explanations so perhaps someone will drop by with one of those. :? i wish you the best of luck. drop by anytime you feel like a chat or to vent. someone is usually around 24/7. take care! Jenny :)
  • imply I would or would not have pain and usually used words that would (in my opinion) cover the reporting radiologist's b***. Moderate, slight, apparent, maybe. Hey, the pain tells the real story. So, you need to get a few spine specialists to read and look at the MRI in person and get their opinions. A CT Meyogram was the defining test for me.

    SO very sorry for your pain and all for your country-I hope you get the care you deserve and with Obama picking a new medical officer for the job, maybe you can get some progress on your condition soon.

    Most of us had to jump through hoops to get help so don't let it get you down. It's part of the American system, sad to say! Keep fighting for your rights and dignity and body! Good luck!
  • So sorry you are having such problems. Thank you for your service. I'm surprised they won't let you try the steroid injections!

    I'm not a MRI interpreter but I had a couple comments: there is no mention of L4-5 & did you ask what the slight flattening of the sac means?

    You have a right to request a "reread" this will require another radiologist to read it you can request it for any reason you want....because you want it done, because l4-5 was not included. If they say they'll have the same dumb a$$ read it to make an addendum say you're more comfortable w/someone else.

    That is a terrible reading in my opinion and referring to the thoracic spine with D11-12 is strange I have never seen such.

    I agree with everyone else to get a second opinion and have the doc SEE the films. A picture speaks 1000 words but for our spines the same 10 similar looking film can be set side by side and the worst looking one may be for a person with no symptoms and the best looking one may be for a person in agony.

    It's true we are all different so don't let them blow you off. I don't know how the military and all of that works but you have rights. Hopefully they have at least given you some meds. Have they done a round of oral steroids?

    You know your body best so stay strong if a doc tells you "you're fine or you shouldn't be hurting" and you are? I personally would get a new one until someone would listen to me and HEAR me.

    Good luck
  • Thanks for reading, Im taking diclofenac for an anti-inflamatory and time release codine. It makes life managable but even then I still have to take tylenol 3's on top of that. I definately cant do any lifting and I cant find a position to sleep in, it always nagging and acheing. I agree that I need another opinion or 3 from other back specialist's. I have been researching alot about my condition. I have read that a schmoral node is when the disc has been put through to much pressure and breaches the endplate of the vertabrea wich causes the pain. And only will get worse in time,triggering DDD.
    Thanks.
  • lulusheart said:
    :) hi and welcome to the forum! :H we are here to offer you support and answer what questions we can. i want to thank your for your military service. =D> i am sorry you are suffering so much. :''( have you tried any medications for the muscle spasms? there are some good medications available for that. talk to your doctor if you can.:-C i am sorry i cannot help you with your report. your doctor is the best person to help you with this. there are several sites that offer some explanations so perhaps someone will drop by with one of those. :? i wish you the best of luck. drop by anytime you feel like a chat or to vent. someone is usually around 24/7. take care! Jenny :)
    Hi and thanks for reading. I have noticed that you say our doctors are the best people to help explain the report,but I dont really agree. I have seen 3 different local doctors and im not even sure they know how to read a mri report.
  • :) blowntib,hi! :H i also say there are several sites on the net that might help you as well. it appears you have not yet found a qualified doctor to read your report for you.it is your role to find that qualified physician. taking an active part in our pain is invaluable to success. =D> good luck again! Jenny :)
  • thanks jenny. How would I know if they were qualified?
  • It is like russian roulette with these docs. Wish I had the answer to that question. One thing that I did want to tellyou is that my brother in law had an MRI done about 20 years ago when he was in so much pain. Saw 2 docs that saw nothing wrong so they treated him conservatively. The pain worsened, he saw a neurosurgeon that looked at the same MRI that the other 2 did and put him in the hospital on emergency. He had a severely ruptured disc and was risking permanent nerve damage. Just goes to show that some really do not know how to read the MRIs.
  • Thanks painintheback, I have read alot about my condition in the last month. My next appointment with the Doc is jan 5th, so he will be in for a suprise. They seem to think my pain is all just sore muscles but from what I have read about Vertebral end plates and schmoral nodes, I think they are very wrong.
    take care.
  • princessleigh76pprincessleigh76 Posts: 1
    edited 09/24/2015 - 5:18 AM
    Description: Mild cerebral atrophy with ventricular enlargement that appears compensatory.
    Multiple areas of increased T2 and FLAIR signal in the deep and superficial white matter of both hemispheres the right cerebellar hemisphere, and the base of the pons.
    These areas are not associated with restricted water diffusion and are consistent with chronic small vessel disease.

    Impression: A few punctate non-enhancing areas of increased T2 signal in the white matter of both hemispheres a nonspecific finding unchanged in appearance.

    ********************************************

    No one on the Spine-Health patient forums is medically qualified to provide any advice or recommendations on any diagnostic test. However, the following key words can always be applied.

    • MILD Treated with conservative measures such as Physical Therapy and mild medications. Many times these situations can be cleared up and the condition can be resolved.
      MODERATE Some more treatments may be needed, ie Spinal Injections, Ultra sound and stronger medications. Always a possibility of more aggressive treatment if the conservative measures don't help
      SEVERE Need for stronger medications. The requirement for surgery may be necessary

    Please click on link for helpful information
    Welcome to Spine-Health

    Liz Spine-health moderator
  • Hello. Sorry about your pains :-( but wanted to share something that helped me read my MRI. I am a college student and when I had my MRI I had to wait a whole weekend to get the report but I had the DVD with it on it... I opened the disc on the comp and went to YouTube and found a lecture explaining what different things meant on an MRI. I typed in what area the MRI was done on and found a lecture that honestly helped me understand it. I hope this helps. Good luck.
    Julie Barber
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