I got my MRI results back and I was wondering if someone can help explain. I herniated my disk abuout a month ago which led to leg pain and toe numbness about 2 weeks ago.
I have an appt with a neurosurgeon but I was wondering if someone can explain what these findings meant before I go for my appt.
The radiologist actually recommended surgery but being only 26 years old I am a bit hesitant. My fear is that this MRI looks really bad and I have no choice but surgery?
Vertebral body heights, alignment and marrow signal are well maintained. Trace retrolisthesis of L5 relative to S1 is noted however. Conus medullaris demonstrates normal course, caliber, contour and signal and appropriately terminates at the L1-L2.
The following levels are visualized in the axial plane:
L1-L2 through L3-L4: Grossly unremarkable.
L4-L5: Central posterior disc protrusion is noted which effaces the anterior thecal sac. Only mild narrowing of the anterior inferior aspects of the bilateral neural foramina is noted, relatively mild.
However, encroachment into the right lateral recess is noted.
L5-S1: This level is markedly abnormal. A very large left paracentral disc extrusion is present which in axial plane measures 1.4 x 1.5 cm. In craniocaudal dimension, this measures approximately 2 cm in diameter. Severe focal central canal stenosis is seen.
In addition, marked extension of the bilateral lateral recesses is noted with extensive contact with the left greater than right descending left S1 nerve root. The L5 nerve root is relatively well maintained. No neural foraminal stenosis is seen on the basis of this extrusion.
Disc space narrowing and desiccation is present at L4-L5 and L5-S1.
The surrounding soft tissues demonstrate no definite fluid collection or mass.*********************************
There is nobody on the forum medically qualified to advise on an MRI finding you need to discuss this with your doctor http://www.spine-health.com/forum/announcements/spine-health-announcements/mri-reports-why-we-cant-advise