MRI OF THE LUMBAR SPINE, 09/01/2015
Inversion-recovery, T1-, and T2-weighted images of the lumbar spine were
obtained in multiple imaging planes without intravenous contrast.
Conus terminates at L1-2. Negative for cord signal abnormality. Negative
for compression deformities. Hyperintense T1 signal focus in the L4
vertebral body, likely related to a hemangioma. Smaller hemangioma noted
the L1 and L5 vertebral bodies.
Visualized lower thoracic levels demonstrate no significant central canal
At L1-2 and L2-3, no significant central or foraminal stenosis.
At L3-4, no significant central or foraminal stenosis.
At L4-5, mild disc bulging. Mild central canal narrowing. Right shallow
foraminal disc protrusion abutting the right L4 nerve. Only mild right
foraminal narrowing. Left neural foramen appears patent.
At L5-S1, facet hypertrophic changes are noted. Shallow disc bulging with
annular degeneration. This is slightly eccentric to the left. The neural
foramina appear patent.
No abnormal signal in the visualized sacral ala. Small probable bilateral
renal cysts but incompletely characterized. No abnormal edema in the
Subtle diminished T1 and T2 signal in the L4 vertebral body anteriorly,
possibly related to a region of sclerosis but is nonspecific. No
No one on the Spine-Health patient forums is medically qualified to provide any advice or recommendations on any diagnostic test. However, the following key words can always be applied.
MILD Treated with conservative measures such as Physical Therapy and mild medications. Many times these situations can be cleared up and the condition can be resolved.
MODERATE Some more treatments may be needed, ie Spinal Injections, Ultra sound and stronger medications. Always a possibility of more aggressive treatment if the conservative measures don't help
SEVERE Need for stronger medications. The requirement for surgery may be necessary