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Old 01-24-2012, 04:18 PM   #1
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Can anybody interpret this MRI for me?

FINDINGS:

The conus is normal terminating at L1-2 level. No acute fractures,
subluxations or destructive osseous lesions are present.

T11-12: Moderate narrowing of the disc and osteophytes. Schmorl's
nodes are present. Right paracentral disc protrusion with mass effect
on the right aspect of the cord.

T12-L1, L1-2, and L2-3: Desiccated discs. Schmorl's nodes are present.
Disc bulges without spinal stenosis.

L3-4: Schmorl's node. Disc bulge without spinal stenosis.

L4-5: Normal disc. Mild facet joint DJD.

L5-S1: Normal disc.

IMPRESSION:

RIGHT PARACENTRAL DISC OSTEOPHYTIC PROTRUSION AT T11-12 WITH SLIGHT
MASS EFFECT ON THE RIGHT ASPECT OF THE CORD.

NO DISC HERNIATIONS OR SIGNIFICANT SPINAL STENOSIS AT ANY OTHER LEVEL.

 
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Old 01-30-2012, 09:13 AM   #2
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Re: Can anybody interpret this MRI for me?

Welcome to the board. I am sorry no one responded to your post yet. I will try to help you understand your findings, but be advised we are not medical professionals, just fellow spineys. You will need to see your doctor for a proper interpretation.

That being said, for the most part the results are good and the part of the spine that was examined is normal. There are some issues going on that are typically referred to as degenerative...which almost everyone has as a part and parcel of aging. In the case of the human spine, this aging begins in our twenties as the discs start to dry out a bit, and normal wear and tear begins to accumulate.

The major finding is at the thoracic 11 and 12 vertebrae and the disc between them. The disc shows signs of degenerative change and is slightly bulging out, pressing into the spinal cord at this level. You will see that Schmorl's nodes are mentioned at several levels, but are having an impact at T11-12.

I'm sure you have heard of a disc herniation. A Schmorl's node is just a vertical disc herniation. There is an upward and downward protrusion of a spinal disk's soft tissue into the bony tissue of the adjacent vertebrae. If you look at a picture of one, you will see where the flat edge of the area where the disc joins the vertebra normally looks smooth, this will look a bit jagged or bumpy. It is a normal part of aging, caused by daily living (wear and tear).

It can be a cause of lower back pain, although some literature states that this is somewhat controversial. Schmorl's nodes are a fairly common finding on X-ray examination.

Otherwise the rest of the lumbar area looks OK. There is a disc bulge mentioned in the findings for L3-L4, but it is not mentioned again, so one can conclude that it is very small and not considered clinically significant.

Are you having lower back pain?

 
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Old 01-30-2012, 09:35 AM   #3
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Talking Re: Can anybody interpret this MRI for me?

[QUOTE=tetonteri66;4919606]Welcome to the board. I am sorry no one responded to your post yet. I will try to help you understand your findings, but be advised we are not medical professionals, just fellow spineys. You will need to see your doctor for a proper interpretation.

That being said, for the most part the results are good and the part of the spine that was examined is normal. There are some issues going on that are typically referred to as degenerative...which almost everyone has as a part and parcel of aging. In the case of the human spine, this aging begins in our twenties as the discs start to dry out a bit, and normal wear and tear begins to accumulate.

The major finding is at the thoracic 11 and 12 vertebrae and the disc between them. The disc shows signs of degenerative change and is slightly bulging out, pressing into the spinal cord at this level. You will see that Schmorl's nodes are mentioned at several levels, but are having an impact at T11-12.

I'm sure you have heard of a disc herniation. A Schmorl's node is just a vertical disc herniation. There is an upward and downward protrusion of a spinal disk's soft tissue into the bony tissue of the adjacent vertebrae. If you look at a picture of one, you will see where the flat edge of the area where the disc joins the vertebra normally looks smooth, this will look a bit jagged or bumpy. It is a normal part of aging, caused by daily living (wear and tear).

It can be a cause of lower back pain, although some literature states that this is somewhat controversial. Schmorl's nodes are a fairly common finding on X-ray examination.

Otherwise the rest of the lumbar area looks OK. There is a disc bulge mentioned in the findings for L3-L4, but it is not mentioned again, so one can conclude that it is very small and not considered clinically significant.

Are you having lower back pain?[/QUOTE]


Hi thank you for your response. My doctor did finally get in touch with me and she said most of the same stuff you said, minus the schmorl's nodes. In response to your question, yes I've been in a significant amount since Christmas of 2011. At least that's when it started to progress. Before that, I experienced mild discomfort primarily upon waking in the morning. This occured for about a year. Then in December, I was driving to Myrtle Beach, about an hour from where I live, and I could hardly wait to get out the car. I was in so much pain. This lead me to go to a dr and get xrays, etc. They put me on an anti inflammatory and I've been on it ever since. I've had the MRI since then and am currently awaiting an appointment with a neurosurgeon. However, the more time that goes by, the more it feels like that anti inflammatory is just a sugar pill. It is hard to keep a straight face in front of people and I find myself yelping randomly in public places because pain will shoot down my leg or a stabbing pain in my side or even in my abdomen, which is a little embarrassing. It used to be in my back, then it moved to my right leg, then to my left leg, and now its just anywhere and everywhere below my belly button. My dr has advised me not to lift over 15lbs and not to do anything that increases pain. Maybe I should lay in bed all day cause that's about the only thing that doesn't hurt? lol

 
Old 01-30-2012, 08:16 PM   #4
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Re: Can anybody interpret this MRI for me?

I'm glad you will be seeing a spine specialist. I wasted a year because my internist felt he knew what was going on with my lumbar spine. You might as well get the correct information at the beginning, right?

In addition to the lifting restriction, try to limit your time spent sitting. Sitting puts 30% more stress on the discs than either standing/walking or lying down. After lumbar surgery, it is fairly routine to have a restriction of 15-20 minutes at a time. You don't need to be that strict, but, if possible, try to take a mini break every hour or so, just to give things a change of position.

Also avoid activities that require bending or twisting at the waist, reaching up overhead or to the side, pushing and pulling.

Please let us know what the neurosurgeon thinks after he meets with you.

 
Old 01-31-2012, 07:14 AM   #5
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Re: Can anybody interpret this MRI for me?

I will let everyone know what happens. I just got the call and I will be seeing him next Wednesday. By the way....do you know if the problem that I have would ever cause lower abdominal pain? I keep having random pain there. The first time it was bad enough for me to think I needed to go to the ER. It was sudden and strong and made me want to double over. But then it faded after about 30 min. Then last night I had a few twinges, but I went to sleep and I guess it went away.

 
Old 01-31-2012, 07:31 AM   #6
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Re: Can anybody interpret this MRI for me?

Yes, I think it is possible given where the level of your disc bulge is located, at T11-T12.

 
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