I just got the results from last night's MRI. I've had three cervical fusions, but this is my first lumbar problem, so I was hoping someone could help translate this into plain English. Symptomatically, I have lots of pain in the lower back, groin and legs, primarily on the right. TIA
Comments: There is no fracture. The vertebral body heights are maintained.
There is mild desiccation and loss of height at L1-L2. There is desiccation and mild loss of height at L4-L5.
There is moderate loss of height again seen at L5-S1. Now seen is increased prominence of discogenic
endplate reactive signal now T1 hypointense and T2 hyperintense compatible with edema, in association with
mild endplate irregularity and hyperintense T2 and STIR fluid signal at the disc space. The findings are likely
related to progressive degenerative change although the possibility of early discitis cannot be completely
excluded. There is no paravertebral mass effect or soft tissue infiltration or evidence of focal collection. No
epidural mass effect or collection is suggested. The marrow changes appear confined to the region of the
endplates. There is no collapse of the disc space.
L1-L2 reveals minimal disc bulge without disc herniation. No canal or foraminal stenosis.
L2-L3 and L3-L4 reveal no disc bulge or herniation. No canal or foraminal stenosis.
L4-L5 reveals mild disc bulge with small broad-based superimposed left foraminal herniation with mild
narrowing of inferior left neural foramen. The right neural foramen is patent. There is mild facet and ligamentum
hypertrophy without canal stenosis.
At L5-S1, there are changes at the disc and endplates as discussed above. There is broad-based mild to
moderate disc bulge with spondylosis without focal disc herniation. There is facet and ligamentum
hypertrophy. There is moderate right-sided and mild-to-moderate left-sided foraminal narrowing.
1. Progressive changes at the L5-S1 level are most likely related to progressive degenerative disc changes.
Although not completely excluded, early discitis is felt to be less likely given the lack of phlegmonous
paravertebral changes and lack of focal collection and the confinement of marrow changes around the region
of the endplates with no collapse of the disc space. Close clinical correlation and follow-up are recommended
with plain films and/or MRI follow-up if clinically indicated to reassess.
2. Small left foraminal herniation of L4-L5 is again seen with mild narrowing of inferior left neural foramen.
3. No new disc herniations. No canal stenosis.********************************************************************************************************* Welcome to Spine-Health
It would be very helpful if you could provide us with more details. So many times we read about members who have different tests and they all come back negative. Isolating spinal problems can almost be like the game of Clue. The more clues and information you provide, the better chances in finding out what is wrong,
Here are some questions that you should answer:
- When did this first start?
- Was it the result of an accident or trauma?
- What doctors have you seen? (Orthopedic, Neurosurgeon, Spine Specialist, etc)
- What Conservative treatments have you had? Which ones?
- What diagnostic tests have you had? And their results (MRI, CTScan, XRay, EMG, etc)
- What medications are you currently using? (details, dosage, frequency, etc)
- Has surgery been discussed as an option? (If so, what kind)
- Is there any nerve pain/damage associated?
- What is your doctor’s action plan for treating you?
Providing answers to questions like this will give the member community here a better understanding
of your situation and make it easier to respond.
Please take a look at our forum rules: Forum Rules
Please remember that no one at Spine-Health is a formally trained medical professional.
Everything that is posted here is based on personal experiences and perhaps additional research.
As such, no member is permitted to provide
- Analysis or interpretation of any diagnostic test (ie MRI, CTscan, Xray, etc)
- Medical advice of any kind
- Recommendations in terms of Medications, Treatments, Exercises, etc
What could be good for someone could spell disaster for another.
You should also consult your doctor to better understand your condition and the do’s and don’t’s.
--- Ron DiLauro, Spine-Health System Moderator : 01/20/15 14:01