Hi, My name is Crystal and I am 33 years old.
I went to my Primary Care Dr in Oct after about a year of suffering off and on with a pain in my lower back. Just prior to going to the PCD the pain started down my leg into my toes and my toes were numb. She sent me for an MRI. She admitted that she did not know a lot about the subject but basically I needed to see a Neurosurgeon because I have a herniated disc at L4-5.
My appt was yesterday but thanks to a MAJOR screw up with the Radiology center I went to I was not able to see the dr and had to reschedule and can't be seen until Jan 4th.
I have a copy of MRI results but to me it makes NO sense. Maybe someone here can help me until I can see the NS on Jan 4th.
Thanks in advance,
T11-T12 disc space narrowing demonstrated with broad based right paracentral disc herniation leading to broad based right sided ventral lateral thecal sac encroachment. Broad based right sided ventral lateral distal thoracic cord contact demonstrated with mild deformative cervical cord flattening which is eccentric towards the right.
T12-L1 disc unremarkable
L1-L2 and L2-L3 disc normal
L3-L4 disc shows degenerative MR signal changes associated with broad based focal midline disc bulge or protrusion with mild degree of midline thecal sac encroachment. There is mild right L3-L4 foraminal stenosis. There is mild L3-L4 facet arthropathy.
L4-L5 disc shows degenerative disc space narrowing with broad based right paracentral disc protrusion or herniation, resulting in mild degree of central canal stenosis with the spondylotic thecal sac encroachment eccentric to the right. There is mild bilateral L4-L5 facet arthropathy associated with moderate L4-L5 and mild to moderate L4-L5 foraminal stenosis.
L5-S1 disc shows broad based right paracentral posterior disc bulge without any significant encroachments on the thecal sac nor S1 nerve roots within the spinal canal. There is mild L5-S1 facet arthropathy.
1.) Degenerative T11-12 disc changes associated with broad based right paracentral T11-12 disc herniation leading to broad based right sided ventral distal thoracic cord contact and deformity that is eccentric to the right. No definate T2 signal changes at the distal thoracic cord.
2.) Degenerative L4-5 disc changes associated with broad based right paracentral disc protrusion or herniation leading to mild L4-5 central canal stenosis in this patient with large and mildly degenerative lumbar facets and short pedicles. Spondylotic thecal sac encroachment is eccentric to the right which may lead to possible right L5 nerve root impingment at the subarticular level. Advise clinical correlation for any possible right L5 radiculopathy.
3.) Broad based midline degenerative L3-4 and right paracentral L5-S1 disc bulges
4.) Mild L3-4 and L5-S1 facet arthropathy
5.) Moderate right L4-5 foraminal stenosis.
Please excuse anything I spelled wrong...LOL