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    Old 07-01-2013, 11:25 AM   #1
    Birdlover00
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    Question Need MRI report translated- brand new here

    Discs: there is mild loss of disc height at L3/4 and L4/5. There is loss of normal T2 signal intensity within the L 2/3 through L5/S1 discs.

    L1/L2: unremarkable

    L2/L3: There is a new right foraminal disc protrusion that mildly narrows the inferior right neural foramen without significant foraminal stenosis. The central canal is patent.

    L3/L4: There is a new broad based left para central/foraminal disc protrusion that minimally flattens the ventral thecal sac and may contact the transiting left L4 nerve root without displacement. The disc protrusion mildly narrows the left neural foramen and may contact the exiting left L3 nerve root. Clinical correlation is recommended.

    L4/L5: There is a new moderate sized left paracentral disc EXTrusion with slight caudal extension of disc material below the disc space. The disc herniation contacts and displaces the transiting left L5 nerve roots. Clinical correlation is recommended. The neural foraminal are patent. There is mild bilateral degenerative facet disease.

    L5/S1 there is a new small central disc protrusion mildly flattens the ventral thecal sac. There is moderate bilateral degenerative facet disease. The central canal and neural foraminal are patent.

    Soft tissue: There is a simple cyst within the left kidney.

    Impression:
    1.multilevel degenerative disc disease that has progressed as above.This is most prominent at L4/L5 where a left paracentral disc herniation contacts and displaces the transiting left L5 nerve root. Clinical correlation is recommended.
    2. There is no central canal stenosis.

    Thanks for any help anyone can give. I don't see the doctor for a month and need to understand this now.

     
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    Old 07-01-2013, 02:41 PM   #2
    teteri66
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    Re: Need MRI report translated- brand new here

    Welcome to the board.

    It appears you have had a lumbar MRI previously and this report indicates there have been some changes. Remember that members are not doctors...so keep that in mind as you read. I will try to help with some of the language that may be unfamiliar so that you will be able to understand the doctor better when he examines you and looks at your MRI. Remember that the MRI is just one piece of the diagnostic puzzle. The doctor will look at it and then correlate what he says on MRI to what he finds in the physical exam, a basic neurological exam and after listening to your description of your symptoms and how your life is being affected.

    The "Impression" part of the report is like a summary of the issues that are probably causing the most problem for you.

    It indicates that there is general degenerative changes in all the lumbar discs except for L1-L2. There is a new disc bulge at the next level down, L2-L3. It appears to be small and while pushing out of the disc space into the foramina, it is enough to be causing foraminal stenosis.

    Stenosis means "narrowing" and there are two places in the spine where it occurs frequently. One is the central canal and the other is in the neural foramen. The foramen are openings at he edge of each vertebra that allows the spinal nerve to exit the spine and go out to the limbs or other areas of the body. These openings need to be clear in order for the nerves to function normally. When the space is narrowed due to other tissue pushing into it, it can cause nerve irritation or nerve pain which can be felt at his level in the back, or anywhere along the path of that particular nerve. For example if the L4 nerve were compressed, a person might have numbnes in the big toe, etc.

    At L3-L4, the disc is spilling out of the disc space and pushing into the foramen on the left side, probably coming into contact with both the L3 and L4 nerves. The doctor who examines you will try to confirm whether there is nerve contact or not by performing some basic tests and neurological tests.

    L4-L5 appears to have the worst issues. There is a new disc herniation that is spilling out below the disc space and is pushing into the L5 nerve on the left side, causing it to be displaced. The facet joints at this level are showing some small signs of degeneration.

    At L5-S1 there are some changes in the facet joints but the foramen and central canal are open, with no signs of stenosis.

    The good news is that there is no spinal stenosis in the central canal anywhere in the lumbar spine.

    It would appear from the report that the L5 nerve is the most affected. Do you have pain running down the back of your thigh, perhaps going down into the calf, possibly even affecting the three middle toes? When a spinal nerve is compressed, it can cause pain, tingling or numbness anywhere along the length of the nerve....

     
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    herniated disks, mri report interpretation



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