My name is Jonathan and I am 21 years old. I constantly browse the forums and now that I have my MRI results I decided I'd join. I don't really understand my MRI results, I would really appreciate if someone could help translate what they really mean since my doctor doesn't seem to think my MRI results are important due to me being so young. He suggested 3 injections and Norco 10/325 3 times daily as needed as well as 4mg of Zanaflex twice a day. Some background information, I was born with Spina Bifida and Hydrocephalus, I have had 68 shunt revisions (brain surgeries) 66 of them within the past 3 to 4 years. Recently, I've been suffering from middle to lower back pain down through my legs. The pain I suffer is a sharp throbbing pain that never seems to go away. I get really bad cramps or muscle spasms in my back and legs. Specifically in my legs I also get numbness and tingling at times.
Findings: the study was performed on a open magnet and is compromised by the low field strength.
Normal lumbar lordosis is maintened. Spinal dysraphism of L5 and the sacrum is noted. Normal marrow signal is seen within the lumbosacral vertebra.
Incidental note is made of Schmorl's nodes at the L1-L2, T12-L1 and T11-T12 levels.
There is a broad-based posterior disc bulge at L1-L2, greater the right than the left, with a suggestion of slight impingement on the exiting right nerve root at this level.
At L2-L3 there is normal disc signal intensity and disc height without evidence of significant disc bulge or herniation. There is no spinal or neural foraminal stenosis.
At L3-L4 there is a minimal broad-based posterior disc bulge without evidence of significant spinal or neural foraminal stenosis.
At L4-L5 there is some loss of normal disc height and signal intensity. There is a central posterior disc bulge no evidence of significant spinal or neural foraminal stenosis.
At L5-S1 there is no significant spinal or neural foraminal stenosis.
The distal spinal cord is small in caliber and is abnormally low in position, extending to approximately the L3 level.
There is a fluid filled dilated portion of the thecal sac in this patient with prior meningocele repair which extends through the posterior spinal defect. It measures 4.8cm superior to inferior x 4.3cm AP x 2.5cm transverse. Unremarkable appearing distal nerve roots are visualized within the dilated distal thecal sac. No intrathecal lipoma or neural placode tissue is visualized.
Spinal dysraphism as described above.
Low lying cord extends to L3 level.
Suggestion of impingement on the exiting right nerve root at L1-L2 due to an asymmetric posterior disc bulge.
Multiple level Schmorl's nodes.