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Old 02-13-2006, 08:33 PM   #1
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What does all of this mean?

Below is a report from my MRI. All the dr said was I had a few herniated disks, but that 50% of the population has them. Some people don't have a problem.

I just don't understand what all this means. Can anyone help interpret? Thx.

Findings:
No subluxation or evidence for an infiltrative process in the bone
marrow. A round area of high T1, T2 signal in the L1 vertebral body is
probably an incidental hemangioma. Horizontal bands of heterogeneous
increased T1, T2 signal along the end plates anteriorly adjacent to the
L4-L5 disc space and L5-S1 disc space are consistent with mainly type
II end-plate degenerative change. No compression deformity. No bone
marrow edema on STIR. No abnormal signal in the visualized distal
spinal cord/conus. Based on sagittal images, no disc herniation or
spinal stenosis at T11-T12 or T12-L1.

Small Schmorl's nodes project into the superior L2 and L3 end plates.
At L1-L2, no disc herniation or spinal stenosis. At L2-L3, there is
minimal disc bulging with no focal disc herniation or spinal stenosis.


At L3-L4, there is mild disc bulging. There is mild disc protrusion in
the right foraminal-far lateral region with asymmetric effacement of
fat ventral to the exiting right L3 nerve root requiring clinical
correlation for right L3 radicular symptoms. This is opposite to the
side of the patient's stated symptoms. There does not appear to be
significant central stenosis.

At L4-L5 and L5-S1, there is degenerative disc space narrowing and low
T2 signal disc desiccation. At L4-L5, there is mild posterior
disc/osteophyte complex and there are facet degenerative changes with
left larger than right facet joint effusions. No focal disc herniation
or significant spinal stenosis at L4-L5. At L5-S1, there is mild disc
bulging slightly asymmetric toward the left. There are facet
degenerative changes and ligamentum flavum thickening again with what
appear to be bilateral facet joint effusions. No disc extrusion. The
asymmetric disc bulging abuts the thecal sac and proximal left S1 nerve
root without definite compression or displacement of the nerve root.
There is some narrowing of the left neural foramen but there is still
some fat around the exiting left L5 nerve root/dorsal root ganglion.
There is nonspecific straightening of the lumbar spine.

IMPRESSION:
1. Right foraminal-lateral disc protrusion at L3-L4 requiring clinical
correlation for right L3 radicular symptoms.

2. Degenerative changes L4-L5 with no focal disc herniation or
significant spinal stenosis. Left neural foraminal narrowing.

3. Degenerative changes L5-S1 with slightly asymmetric disc bulging
more to the left and left greater than right facet degenerative change.
There does not appear to be a significant disc herniation or
significant displacement of the proximal left S1 nerve root. There is
some narrowing of the left neural foramen but there does not appear to
be significant foraminal stenosis. Clinical correlation is needed.
Follow up imaging recommended as clinically warranted.

 
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