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Mri result interpretation/Symptom correlation

QuestionsPlsQQuestionsPls Posts: 1
edited 01/28/2016 - 9:08 PM in Lower Back Pain

For the last four months or so I've been experiencing acute lower back pain. I would say on a daily basis the pain is a 6/10, but worse when I lay in certain positions. Over the last few months I've been incredibly ill. I have not been able to work or excercise in the last four months. The list of symptoms is too long to list, but here are some of them.

Extreme daily headaches that last all day and don't go away, brain fog, blurred vision, cognitive difficulties, short term memory loss, night sweats, weight loss. body/joint/bone aches, abdominal pain, change in stools, respiratory problems etc.

I have seen many specialists including multiple Neurologists, and have have had many tests/images run with no diagnosis.

I wanted to see what my MRI results meant. My GP was vague but he referred me to an Orthopedic Surgeon. I also wanted to know if these results could be contributing to my headache problems in anyway. Here is what the results said:

Impression: Central and right L4-5 disc protrusion with moderate right lateral recess stenosis.

Probable prominent left nerve root versus small focal disc extrusion at L3-4. Correlate with any symptoms of left L4 distribution.

Comparison exam: Plain films from 12/11/15 (one month earlier) with increased bony density in the left L3 pedicle area.

Findings: Sagittal images demonstrate normal vertebral alignment with the broad mild protrusion at L4-5.
The intervertebral discs demonstrate mild narrowing at L4-5 and the broad protusion.

Axial images reveal: L3-4: The no signal intensity in the left lateral recess probably represents nerve root although a small focal disc extrusion is not excluded. Correlate with any symptoms of left L4 radiculopathy. Finding is best seen on series 5 image 21.

L4-5: Focal central and right sided disc protrusion with moderate to right lateral recess stenosis.

Thank you very much for your help!

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 helpSEVERE Need for stronger medications. The requirement for surgery may be necessaryLiz, Spine-health Moderator


  • LizLiz Posts: 7,832
    edited 01/28/2016 - 9:09 PM
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    Liz, Spine-health Moderator

    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
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