He can't get into his dr till next week. he wanted me to ask if anyone knew what the paper meant. medical records gave it to him, but like i said , won't be seen till next week and hes worried. He is worried about surgery, the growth and other stuff he don't understand .
this is what it says.
lumbar spine mri w/o contrast
comparison : lumbar mri on 5/06/2009
technique : the lumbar spine was imaged using standard pulsing sequences
Findings : the strature and alignment of the lumber vertebrae is normal.the conus medullaris is at the L1 level. A 7 mm focus of signal hyperintensity in the left side of the L2 vertebral body is noted. It is slightly increased in size since 2009 and most likely represents an atypical vertebral hemangioma.therere are again noted to be schmorl's nodules iwth chronic inflammatory change in the superior endplates of the L4 and L5 . Since the prior study there has developed severe disc degeneration of the L5-S1 disc with acute and chronic inflammatory changes in the adjacent endplates. Remainder of the marrow signal in the lumbar vertebral bodies is homogeneous. No spondylolsis or spondylolisthesis is seen. The T12-L1, L1-L2, and L2-L3 discs are well-maintained in height and fluid signal with no degeneration or bulging identified.
L3-L4 : This disc is mildy narrowed and decreased in fluid signal.Very mild bulding of this disc is unchanged with no disc herniation or stenosis identified .
L4-L5 : This disc is well maintained in height but decreased in fluid signal . Mild disc bulging at this level is unchanged.No disc herniation or stenosis is seen.
L5-S1 : This disc is now markedly narrowed and bulging with a broad-based central and bilateral paracentral disc herniation as well as endplate osteophytes. There are Schmorl's nodules that have developed in the adjacent endplates with acute and chronic inflammatory changes. There is also fact hypertrophy.The combination of the disc herniation,osteophytes and loss of disc height is resulting in severe bilateral neural foraminal stenoses. No central stenosis is identified .
impression : degenerative disc disease in the lower lumbar spine with a disc hernation of the L5-S1 dsc as described above .