MRI Report

MRI Report

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LasVegas
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MRI Report

I find it depressing that my MRI report is non-understandable to me and must wait another week for dr appt to get an interpretation. Some of the areas that concern me, or that I think look concerning include...

A. Every test area noted "broad-based posterior annular bulge",

B. two areas noted "central disc protrusion",

C. "mild narrowing of the lateral recess and neural foramina",

D. two areas noted of "straightening of the lumbar spine", "straightening of the cervical spine",both areas state "which could be secondary to spasm.",

E. "multilevel endplate changes and Schmorl's nodes in the lower thoracic and in the lumbar spine",

F. "synovial cyst",

G. "hypointense T1 and T2 signal measuring approximately 11 mm. This could represent a bone island.",

H. "patchy marrow signal",

I. "uncovertebral joint hypertrophic changes, right greater than left, causing noderate right and mild left neural foraminal narrowing.",

J. two areas noted "posterior osteophytes causing moderate effacement of the ventral subarachnoid space and mild bilateral neural foraminal narrowing."

K. "decrease in intervertebral disc height and endplate changes.",

L. "mild posterior ligamentous hypertrophic changes contributing to spinal canal narrowing."

M. "There is loss of normal hyperintense T2 signal in the cervical and upper thoracic intervertebral discs,
consistent with disc desiccation." There is spondylosis at C5-C6 and C6-C7.",

N. "At L4-L5, there is approximately 2.3 mm broad-based posterior annular bulge with ligamentum flavum and facet joint hypertrophic changes causing moderate to severe narrowing of the left lateral recess and left neural foramina and moderate narrowing of the right lateral recess and right neural foramina. The AP diameter of the spinal canal is 1.6 mm. Posterior to the left inferior facet is a synovial cyst measuring approximately 2 mm."

If anybody is knowledgeable in any of these descriptions from my MRI report, please Private Message me

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Kris-NY
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Keep in mind

LV sounds like alot huh? I've said this many times, I don't understand why they give this report to the patient directly. In my experience I have to speak to my doctor. Then he will give me a copy. I have never gotten the report from the radiologist.

Keep in mind that we all have some natural degeneration in our spines from aging and living in general. So some of what you are seeing will be written off as normal. Some will be things that come from non-trauma.

All that the doctor will care about is changes that are causing your pain and anything that might be instability which might lead to future problems. The best thing you can do right now is keep a detailed pain log. That way when you see the doctor you can accurately tell him what hurts.

LasVegas
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Thanks Kris-NY

Yes it does seem like alot, too much for this Las Vegas man to feel comfortable with at age 42, very healthy active lifestyle, except for this long unexplainable list.

I do not think such a report should've been given to me without a detailed explanation by the dr in terms the average person would understand.

Seeing my dr for a follow-up on Thursday and will bring these and other questions, along with a pain log, great suggestion, thanks again

Wrambler
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Never

I have never received any X-ray, Ct scan, or MRI report directly.

At the time I was still able to have MRI's I had very good working relationship with my PCP and once I had the MRI he called me and talked about what they saw with my shoulder and osteo/avascular necrosis of my humerus (dead bone). So he did not leave me hanging he also called my Ortho Surgeon the same day.
So, Thankfully I have not had to wonder too long when this stuff has come up.

I don't know spinal terminology, but, remember when they read an MRI, they report on everything in detail they see in the requested areas of the MRI. Sometimes what sounds really, really bad, is not.

Hang in there and try to just not dwell on it too much till you can talk to the dr.

LasVegas
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got all my ?'s answered

got all my ?'s answered today from my pain mgmt dr who was very thorough w/ her explanations taking plenty of time w/ me and not rushing me at all. in a nutshell, there is plenty of bulging discs, some arthritis and some narrowing. like others have mentioned, the report sometimes looks worse than it actually is.

virginiap
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hey there LV

I am happy to hear you had such a thorough consultation with your PM doctor! That is always a pleasant experience.
Further, I am really happy to hear that after a very descriptive report, the results per your PM, were not as frightful as they appeared.
I am sorry that you had to worry for almost a week before getting an actual DX.

I know here in FL, or at least the 3 or 4 radiology facilities I have dealt with have a strict policy NOT to give patient copy of MRI or CT scan dictation report for 10 days, so that the referring physician first has the opportunity to review films and or report.

IMO, if doc is only reading report, vs reviewing films for him self, he is probably not the doc you want to see. The radiologist will dictate a lot of natural degeneration and man reading all those impressions can drive you mad! I had one very seasoned NS tell me that radiologists will almost always over state findings......CYA, philosophy.

Oddly, they (radiology facility) has no problem to burn cd copy on spot and hand it to me. I take the disc home pop it pc and play NS, LOL.

LV, did pm give you a game plan to help with your pain & issues?

Hope you are doing ok and feeling somewhat relieved.
Virginia

LasVegas
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Hi Virginia, thank you for

Hi Virginia,
thank you for your kind wods. Yes, she gave me treatment options for RFA or more facets for neck. And for the lumbar, she recommended addtl facets with more epidural. But she agreed w/ me to see prtho 1st and see what he thinks, then make the decision from there.

In the meantime, she prescribed Oxycodone 15mg 4x/daily instead of previous Percocet 10mg 4x/daily.

Follow-up w/ pain mgmr dr in 2 weeks after I see ortho to share w/ her what i want to do w/ neck and lumbar.