I had an MRI done 2 weeks ago but don't meet with the Orthopedic for another 2 weeks. I have the results and would like it if someone can read them back to me in lemans terms. I've had 3 previous back surgeries.
History back pain radiating down left leg. Prior spinal fusion
Findings The patient had had previous lumbar spine fusion of L4-5. There are Modic type 2 degenerative endplate changes at L4-5. There is an intervertebral space at L4-5. The boney spinal canal overall is congenitally small. There are mild degenerative changes of the disc spaces L2-3, L3-4, L4-5, and L5-S1.
L1-2 The thecal sac and neural foramina are intact. There is mild facet and ligamentum flavum hypertrophy.
L2-3 There is a broad-based disc protrusion with annular fissure measuring 3mm. The thecal sac measures 7.7mm. There is no significant narrowing of the neural foramina.
L3-4 There is minimum disc bulge. There is mild facet and ligamentum flavum hypertrophy. The thecal sac is not stenotic. There is mild narrowing of the neural foramina.
L4-5 There has been prior surgery. The thecal sac is not stenotic. there mild narrowing of the left neural foramina greater than the right.
L5-S1 The S1 nerve root is intact. The thecal sac measures 7mm. There is no significant narrowing of the neural foramina.
1 Prior lumbar fusion at L4-5. Disc and osteophytes result in mild narrowing of the neural foramina at several levels as discussed above. There is mild stenosis of the thecal sac at L2-3 where there is a small disc protrusion with annular fissure.
2 lesion in the right iliac crest that is nonspecific and of certain etiology. Correlate with surgical history. CT could further evaluate if clinically indicated.