i am asking for an opinion on my mri results that follow..
procedure:mri lumbar spine without and with contrast
clinical history: previous lumbar fusion. recent slip and fall 09/14/2013. right leg pain
and weakness. severe back pain.
comparison: compared to previous lumbar spine mri 12/06/2006.
technique: at 1.5 tesla, multiplanar, multisequence mri of the lumbar spine was
performed without and with gadolinium contrast.
findings: on the prior exam, pedicle screws were seen at l4 and l5. the screws are no
longer present. currently screw tracts are seen at the l4 and l5 pedicles as well as in l3.
however, all the hardware has been removed. there are no vertebral body compression
fractures. disc desiccation is seen at l2-3, l3-4 and l4-5. there is a very subtle retrolisthesis
of 2 mm at the l2-3 level. no compression fractures.
the conus medullaris terminates normally.
t12-l1: no disc herniation. patent foramen and canal.
l1-2: no disc herniation. patent foramen and canal.
l2-3: minimal disc bulge. mild facet hypertrophy. this is the level of subtle retrolisthesis. the
disc bulge does cause some bilateral recess narrowing to a mild degree. this could potentially
irritate either of the descending l3 nerve roots. there is moderate facet hypertrophy. the ap
dimension of the central canal is normal at 12 mm.
l3-4: status post laminectomy. no disc herniation. patent foramen and canal.
l4-5: status post laminectomy. no disc herniation. patent central canal and foramen. some
left-sided facet disease does cause left foraminal stenosis. correlation for any left l4 radicular
symptoms. the right foramen is widely patent.
l5-s1: patent foramen and central canal. no discrete herniation. some facet hypertrophy is
post contrast images fail to demonstrate any significant abnormal enhancement.
1. pedicle screws have been removed from l3, l4 and l5.
2. there is disc desiccation at l2-3 with a subtle retrolisthesis. at this level there is a
disc bulge. along with some facet hypertrophy there is bilateral recess narrowing
which could potentially irritate either of the l3 nerve roots in the recesses.
3. there is no lateralizing disc herniation. the central canal is patent at all levels.
4. there is some left-sided foraminal stenosis at l4-5 due to facet hypertrophy. normal
right foramen at this level.
5. please see above report for details at each level.https://www.spine-health.com/forum/support/seasoned/mri-reports-why-we-cant-advise
there is nobody on the forum qualified to advise on mri