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Need Help w/MRI BoneScan

AnonymousUserAAnonymousUser Posts: 49,670
edited 06/11/2012 - 8:37 AM in Chronic Pain
Hi to all!
This is my first time posting so bear with me...My back pain started after I had a nasty fall down the stairs @ home-I broke my ankle & @ the time figured I would heal and get back to normal life. Pain started out in the low back & I went to accupuncturist for treatment he helped a lot & the pain was manageable-Dec. of 2007 I was shampooing my carpet & was suddenly in severe pain that landed me in Hosp.
w/morphine injection & sent home with the usual muscle relaxers/steroids-Since 2007 I have been diagnosed with scoliosis(mild),spondylosis,facet arthropathy,mild/moderate disk degeneration @ multiple sites,multiple disk bulges,hemangioma @L5-Over the last six weeks the pain started to get so bad that I couldn't walk & driving has been excrutiating. I just had an MRI done on Thursday & report said "change in the appearance of the marrow signal of the L2 vertebra & also new abnormal signal involving the sacrum & iliac bones" He goes on to say "The latter looks like some sort of sacroiliitis but does not involve the joint space themselves" He also noted a change in my L2 vertebra & sent me for a bone scan yesterday to rule out "metastatic disease" So I got the results from the scan today & now he completely changes his finding to say "NO abnormal uptake in the sacrum/SI Joints" and then he says that the abnormal MRI was probably from "blood forming marrow in these regions" In addition he now says I have "increased activity in the right side of the T10 and L2" He ends all this with a reccomendation for an X-RAY!!!
Has anyone had this happen? Is this common for them to misread an MRI? What about the blood forming? I am so tired of not knowing what is really causing the pain & scared that they aren't going to be able to help-What are your thoughts about second opinions? He didn't evan comment on my hemangioma @ the L5 (non-cancer tumor) and now I have to go talk to my FNP who keeps telling me to take my vicodin & steroids! I am so sick of it!!! Please any help/advice would be so much appreciated! Thank You :)


  • Thanks Gwennie! I will try to find a Specialist to review my records-I do keep copies of everything & have CDs as well. Will keep you posted-
    PS: How are you feeling? Do you still have pain??
  • Yes, I still have a compressed nerve, so all my pain is in my legs...mainly the right leg. Luckily it goes away when I sit or lie down. So if I am a professional couch potato, I'm OK!! It's just not how I anticipated spending the rest of my life!!

    Sometimes when there is a hematoma, it will reabsorb and isn't really a problem. If you hadn't had a MRI at a particular time, you might not even know about it. They usually form after surgery, but it can also be like a bruise.

    Where is your pain and what are your symptoms?

    Cute baby...yours?

    xx Gwennie
  • I understand your frustrations. Keep in mind that a MRI is only as good as the person reading it. It depends on the quality of the machine, the quality of the images, how still you were during the entire exam, etc. If the images are a bit blurry, the person interpreting the MRI may be making an educated guess.

    Sometimes things are very obvious and just about anyone could spot it on an MRI...but other times, things are much more subtle and it is a matter of interpretation. That is why MRI is just one tool in the toolbox of diagnosis.

    The spinal specialist will also depend on other imaging, the patient's oral history of his/her symptoms, physical history, etc.

    The bone scan must have ruled out whatever the doctor was looking for or suspecting. So he has moved on to the next possibility!

    I imagine the X-ray has to do with the scoliosis that was mentioned. You will probably have a flexion X-ray to see what's going on at the T12-L2 area.

    You might want to make an appointment for a second opinion with a different fellowship-trained spinal specialist. Take all your films with you and see what someone else tells you.

    But do not be surprised if an MRI is interpreted slightly differently by different specialists!!

    Good luck!!
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