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New MRI 5 months post surgery - help understanding

Hi All -

I had L5 laminectomy and L4-L5 diskectomy in May. Hadn't really had much back pain. It was mostly in my foot. After I ended up with foot drop, I was sent for back surgery.

Since surgery, the foot pain has been bad....mostly on my outer heel. I have been to loads of pt, podiatrist, neurologist. I have also been having bad headaches and some tingling in face/lips. The doctor thinks it's anxiety, but I have never had this so I am skeptical and wonder if it could be spine related. Finally the neurosurgeon ordered another MRI. I waited for him to get back to me with the results and finally went to pick them up myself (It's been a week!). So I get from the radiologist's findings that there is another bulge in the area operated on, but I have no idea what the rest means. Can anyone decipher this:

L4-5 right lateral recess protrusion with increased T2 signal, likely representative of a recurrent disc protrusion that compresses the L5 nerve root within the lateral recess.


There is mild edema within the paraspinous soft tissues in this region. There is a right L4-5 and L5-S1 facet fluid, mild. Foci of T1 and T2 hyperintesnsity without STIR signal scattered throughout the lumbar spine are consistent with hemangiomas and stable.

There is a small new right lateral recess to foraminal protrusion measuring 8 mm in radial dimension with increased T2 signal likely in the region of the microdiskectomy. This displaces the L5 nerve root.

HELP?? Thank you!!!



  • PaulPPaul Posts: 713
    edited 10/04/2013 - 5:54 PM

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    On the sunny and mild Central Coast of California

    L4-L5 endoscopic transforaminal microdiscectomy June, 2007
    L5-S1 endoscopic transforaminal microdiscectomy May, 2008
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