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Old 05-17-2010, 05:06 PM   #1
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MRI readings- can someone explain it?

Can someone explain my MRI readings to me? I can't really understand what I'm reading.


Findings
scans were obtained with and without contrast

Comparison MRI 05/15/09

note is made of diffused multilevel mild spinal stenosis due to congenitally short pedicles

level by level evaluation is as follows:

t12-L2: unremarkable

L3-4: trace central disc bulging is present with central high signal zone. minimal anterior thecal sac flattening. combination of congenital factors and this stable central focal disc bulge leads to mild/moderate central stenosis but unchanged. mild facet arthropathy at this level. foramina patent

L4-5: post left laminectomy changes noted. there is an increasing amount of nonenhancing central left paramedian predominant disc protrusion. maximal AP diameter proximates 6-7mm. there is mild to moderate degrees of anterior thecal sac effacement greater on the left. lateral recesses are minimally stenotic. the foramina are patent.

L5-S1: chronic mild disc space narrowing and congenital stenosis at this level without findings of focal disc protrusion or foraminal stenosis.

Impression:
1. Increasing, 7mm nonenhancing left paramedian focal disc protrusion L4-5 adjacent to laminectomy site. mild to moderate mass effect.
2. Multilevel spinal stenosis from L3 through S1 due to congenitally short pedicles.
3. Stable mild central disc bulge L3-4. Combined congenital stenosis and disc bulge lead to mild/moderate central stenosis

 
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Old 05-20-2010, 08:52 AM   #2
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Re: MRI readings- can someone explain it?

Spinal Stenosis is what they said i had with 3 disc herniations and bone spurs, that means a narrowing inside the spinal column putting pressure on the spinal cord or nerves, im not sure on there termanology but i can say that i had a mylogram after the mri which showed alot more going on than the mri,surgeon said he'd be able to go in with microsurgery off the mri and it changed to a 3 level fusion after the mylogram.

I had quite a few courses of predisone the same dosage as your on were it gradually decreases, the only relief i got was for 2 days when i had 2 cortisone injections in the same week while taking the predisone orally too. I never had the cortisone injected in the disc space or spinal canal like you mentioned on a previous post maybe that would have worked better. I found that the side effects were too much with these drugs, i couldn't sleep, felt constantly sick and stomach upset and grew tired of it, personally i didn't get good pain relief from them to put up with the side effects either.

Spouses family and friends who have not had chronic pain find it really difficult to understand that you cannot do all you used to do and also you tend to be on a short fuse when every movement hurts, ive had quite a few times ive shut the bedroom door and had a good cry about it. I had the fusion 7 weeks ago i knew there was something wrong as soon as i woke up and spent the last 6 week trying to convince everybody including my husband who at times had the idea if i got moving more it would help me recover, i just found out off the CTscan a cage is hanging out of a disc spilling the bone fragments all over the nerve so i'm glad i ignored everyones advice to get walking more. You can only do what you can do and try and brush off any remarks, some of them are well intended thinking they are helping you but at this time it does come across as unsupportive. Im waiting on my family Dr to find me another surgeon and im back to square one with regards to recover then im feeling terrible that its effecting my husband and friends who are doing everything for me thats worse than the thought of another surgery, we have a small horse farm 6 horses and 6 dogs its a huge amount of work on top of the long hours hes stood working not to mention keeping house and cooking shopping etc. Im fuming mad at the hospital for leaving me all these weeks telling me its normal when i could barely walk but im trying to stay positive and move on to the next bit.

 
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