| Anyone want to explain this MRI? The Dr's don't really explain things.
Study Result
Impression
IMPRESSION:
Congenitally short pedicles within the lumbar spine, which may predispose to spinal stenosis.
Mild to moderate lumbar spondylosis, as described.
No significant central spinal stenosis.
Normal caliber and signal of the visualized spinal cord.
No evidence of acute fractures.
Narrative
MRI lumbar spine without contrast
Comparison: None available
Correlation: Lumbar spine films of April 4, 2017
Technique: Sagittal T1, T2 and IR, axial proton density and T2.
Additional History: "lumbar back pain. Evaluate for radiculopathy". Lower back pain. Lumbar radiculopathy not
specified. Tobacco use. 10 pack-years. No known malignancy. Class I obesity with BMI 30.3. Wisdom teeth
extraction, tympanostomy and cystoscopy No known additional surgeries.
FINDINGS:
Congenitally short pedicles within the lumbar spine, which may predispose to spinal stenosis.
Transitional thoracolumbar vertebra, with hypoplastic 12th ribs.
5 lumbar-type vertebrae.
Unremarkable alignment.
Conus medullaris terminates at L1. Rudimentary S1-S2 disc.
Schmorl's node, superior endplate of L1.
Bone marrow signal otherwise unremarkable.
Disc desiccation throughout the visualized thoracolumbar spine.
At least mild osteoarthrosis, visualized sacroiliac joints.
No aneurysm of visualized abdominal aorta.
L5-S1:
Mild-to-moderate posterior narrowing of disc.
Multisystem bulge/osteophyte, with mild-to-moderate lateral recess stenoses.
Mild-to-moderate RIGHT neuroforaminal stenosis.
Mild-to-moderate LEFT neuroforaminal stenosis.
No significant central spinal stenosis.
Moderate bilateral facet hypertrophy.
Trace RIGHT facet joint effusion.
L4-L5:
Mild posterior narrowing of disc.
Mild diffuse disc bulge/osteophyte, with moderate lateral recess stenoses.
Mild-to-moderate RIGHT neuroforaminal stenosis.
Mild-to-moderate LEFT neuroforaminal stenosis.
No significant central spinal stenosis.
Moderate bilateral facet and ligamentum flavum hypertrophy.
Trace bilateral facet joint effusions.
L3-L4:
Mild posterior narrowing of disc.
Mild diffuse disc bulge/osteophyte, with moderate lateral recess stenoses, LEFT greater and RIGHT.
Mild-to-moderate RIGHT neuroforaminal stenosis.
Mild-to-moderate LEFT neuroforaminal stenosis.
No significant central spinal stenosis.
Mild-to-moderate bilateral facet and ligamentum flavum hypertrophy.
No significant facet joint effusions.
L2-L3:
Mild posterior narrowing of disc.
Minimal diffuse disc bulge, with mild lateral recess stenoses.
Mild RIGHT neuroforaminal stenosis.
Mild LEFT neuroforaminal stenosis.
No significant central spinal stenosis.
Mild-to-moderate bilateral facet and ligamentum flavum hypertrophy.
No significant facet joint effusions.
L1-L2:
Mild-to-moderate posterior narrowing of disc.
No significant disc bulge.
No significant RIGHT neuroforaminal stenosis.
No significant LEFT neuroforaminal stenosis.
No significant central spinal stenosis.
Mild bilateral facet and ligamentum flavum hypertrophy.
No significant facet joint effusions.
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