Hi, I know that so many of you are so experienced you may be able to help me until I can get in with a neurosurgeon. I don't expect a real diagnosis but my GP says my MRI is so complicated they can't read it because they are not specialist. I am in so much pain I can't think and I was very upset to read for myself that I have an hemangioma. I just started crying in the parking lot. It's probably going to take a long time to get in with this new Dr., so in the meantime, if anyone can help me understand this MRI, I would so appreciate. I have had 4 back surgeries, 2 being fusions so I'm not completely out of the loop. Here goes,
Technique: T1 and T2 and stir Sagittal images. Selected T1 and T2 axial images.
The vertebral bodies are normally aligned. There are no compression fractures. The patient is status post fusion of the C5 and C6 vertebral bodies. There is an hemangioma in the T1 body. No significant marrow signal abnormalities otherwise. The dorsal cord intrinsically is normal. There is no significant encroachment on the dorsal canal or cord otherwise.
Lumbar spine MRI, within without contrast
Technique T1-T2 star and fat suppressed enhanced Sagittal images. T1-T2 and fat suppressed enhanced axial images. 15 cc of Magnevist administered for the enhanced images in order to evaluate post surgical changes
There are no significant alignment abnormalities. The patient is status posterior decompression and pedicular screws and posterior rod fusion L4-l5 and S1. There are no compression fractures. The distal cord tapers normally terminating at L1. No significant paravertebral abnormalities.
T12-L1 there is a right paracentral disc protrusion effacing the CSF anterior to the distal core but no significant canal or foraminal stenosis .
L1-2-L2 this level evaluated on Sagittal images only. No disk herniation central canal stenosis or neural foraminal narrowing.
L2-l3 there is mild disc height loss. There is a facet arthropod without significant central canal stenosis or foraminal narrowing.
L3-L4 Minimal disk bulge. There is a facet arthropathy and borderline mild central canal stenosis with the canal measures 9-10 millimeter similar to prior. No significant foraminal stenosis
L4-L5 Disk height collapse. Posterior decompression with bilateral laminectomies. Pedicular screw and rod fusion of the right L4-L5 and on the left L4 to S1. There is no disc herniation or central canal stenosis . The right for amen is severely stenotic. Thank you to anyone who can help me understand how good or bad this is. All I know is that I'm going out of my mind in pain. Hydrocodone does not touch this pain.