This is my report of my mri with contrast compared to my one without. no one can seem to tell me what is going on my legs are going numb on me and my doctor is saying that it is not caused by my herniated disc. can someone please help me understand what this is saying, im 36 years old and can not sit or stand for long periods of time i am in pain constantly and no one can help.
The alignment is normal. Disc spaces actually are well maintained although there is moderate desiccation/dehydration from L3-S1. There are focal marrow signal changes involving the anterior aspect of the inferior portion of the L4 vertebral body, much more prominent on the right than on the left. I see no evidence of bone marrow edema. Marrow signal intensity is otherwise somewhat heterogeneous, but i see no focal abnormalities and the degree of heterogeneity is not unusual for menstruation female and likely represents some residual prominent red marrow. No fracture identified. I have a good evaluation of the cauda equina as well as the distal cord. Conus terminates at the L1-L2 level and i have a good evaluation the cord from T10 downward. Cord normal in contour,caliber,course and signal intensity. I see no abnormal cord or nerve root enhancement. Limited evaluation paravertebral soft tissues unremarkable.
L1-L2: No significant abnormality.
L2-L3: No significant abnormality. L3-L4 circumferential disc bulge with a posterior midline area of T2 hyperintensity consistent with a tiny annular tear. Moderate bilateral ligamenemtum flavum thickening. Mild bilateral facet disease. Mild bilateral lateral recess narrowing. No significant canal or neural foraminal narrowing. Findings not significantly changed from prior.
L4-L5: Circumferential disc bulge with a superinposed tiny midline disc protrusion with high T2 signal consistent with a focal annular tear. Mild bilateral ligamentum flavum thickening. Very mild bilateral lateral recess narrowing. No significant canal or neural foraminal narrowing.
L5-S1: again there is a focal disc extrusion eccentric to the left side. Finding main teens contiguity with the parent L5-S1 disc. The disc extrusion measures approximately 14x9x10 mm, not significantly changet by my measurements on the prior. Again there is focal compression of the transiting left S1 nerve root. Finding actually also abuts the S2 nerve root. No neural foraminal narrowing,
1. No significant change from oct. 19,2012.
2. Focal left-sided disc extrusion L5-S1 causing significant compromise of the transiting left s1 nerve root.
3. Relatively mild degenerative changes L3-L4 and L4-L5, with areas of mild bilateral lateral recess narrowing. Clinical significance of these questionable, however the findings are prominent for patient age.
4. No evidence of distal cord/conus compromise. No evidence of a generalized process involving the cauda equina. the distribution of the nerve roots in the thecal sac is normal and there is no abnormal enhancement.