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    Old 02-26-2015, 05:35 AM   #1
    Disnina
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    MRI Interppretation Help

    Can someone help me understand these results from a recent MRI? Thank you
    (I mistakenly posted this on general health as well)


    Multilevel degenerative disc disease. At T11-T12
    Left paracentral disc protrusion with effacement of anterior CSF
    At T7-T8 there is a small central disc protrusion with effacement of anterior CSF.
    At T6-T7 there is a minimal disc bulge.

    Hemangioma within the superior endplate of L1

    3 lobulated T2 hyperintense lesions anterior to the T4-T5 vertebral bodies (1.5 cm in dimension), the T5-T6 vertebral bodies (1.7 cm in dimension), and minimally in the region of the T6-T7 vertebral bodies (7 mm in dimension).
    Several lobulated T2 hyperintense lesions within the anterior paraspinal soft tissues. There is no significant encroachment osseous change within the subjacent vertebral bodies.

    Differential diagnosis includes engorged veins, lymphangioma, and AVM. (AVM is arteriovenous malformation)

     
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    Old 02-26-2015, 06:06 AM   #2
    teteri66
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    Re: MRI Interppretation Help

    Welcome to the board. Did you have a MRI of the whole spine or just the thoracic area?

     
    Old 02-26-2015, 06:19 AM   #3
    Disnina
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    Re: MRI Interppretation Help

    I posted this in concern for a family member. She had an MRI of the entire spine. She originally was diagnosed with Costochondritis. Pain was radiating into her back, so after three weeks, the MRI was ordered. Doctor is more concerned with the lesions. Awaiting more scans, but I was hoping someone had knowledge of any of this. The waiting and not knowing is the hard part, for me anyway. For her it's the pain.

     
    Old 02-26-2015, 07:14 AM   #4
    teteri66
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    Re: MRI Interppretation Help

    I think, unfortunately, you will just have to wait for the additional scans for more information as, from this report, it does appear that there isn't too much going on in the thoracic spine.

    Multilevel degenerative disc disease (DDD) is mentioned. This may sound serious, and it can be, but it is also what all humans develop as we age.

    The discs are comprised of about 90% water, but there are no direct vessels to replenish the supply. So, as we age, the discs tend to dry out (disc dessication) and lose height. This brings the bones of the spine (vertebrae) closer together. This causes the body to set off a cascade of events that result in things like spinal arthritis, facet joint arthrosis, growth of osteophytes, etc. which lead to stenosis, and the discs can bulge or herniate. When DDD is mild, it does not cause many if any symptoms.

    In this person, there are two discs that have bulged to the point where the interior of the disc is protruding out from the disc (think of a jelly doughnut with a small hole in the side, with some jelly leaking out) and this is pushing into the spinal canal. Because the spinal cord is contained within this space, this effacement can result in nerve compression. Since this disc protrusion is not described as small or large, we cannot guess to what extent it is impacting on the nerves. This is where you need the spine specialist to look at the images to determine the size and impact....

    There is an additional small bulging disc at T6-T7 but it is not pushing into the spinal canal.
    That is the extent of the spine specifics. The rest concerns the lesions which are located in front of the spinal vertebrae....(the T2 hyper intense refers to the way the tissue shows up in the imaging). Of course a lobulated lesion needs to be further investigated.

    I know it is difficult to wait, but I am afraid you will not know the next move until you learn more about those lesions.

    I wish you and yours the best.

     
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    Old 02-26-2015, 07:25 AM   #5
    momzworkin
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    Re: MRI Interppretation Help

    Can I ask how old this family member is? Is she seeing a spine specialist or just a regular neurosurgeon? There just seems to be a lot of different things going on in this MRI. Degenerative disc disease, which is what I have, is when the discs between the vertebrae in the spine start to break down, dry out or herniate and protrude out into the spinal canal, sometimes pressing on nerves that can cause a lot of pain.
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    07/2006: A/P fusion L4-S1; DX DDD
    09/2009: started PM
    04/2011: Right rotator cuff tear
    09/2011: re-tore shoulder in PT- lost 30% function in shoulder
    06/2013: diagnosed with failure of L2-L3-L4

     
    Old 02-26-2015, 07:38 AM   #6
    Disnina
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    Re: MRI Interppretation Help

    [QUOTE=momzworkin;5347634]Can I ask how old this family member is? Is she seeing a spine specialist or just a regular neurosurgeon? There just seems to be a lot of different things going on in this MRI. Degenerative disc disease, which is what I have, is when the discs between the vertebrae in the spine start to break down, dry out or herniate and protrude out into the spinal canal, sometimes pressing on nerves that can cause a lot of pain.[/QUOTE]

    She is 31. She went to her GP, then was referred to a physiatrist. This started just 3 weeks ago. Before that she was relatively healthy.
    She has a CT Scan scheduled, then we go from there.
    She is in a lot of pain, her doctors don't want to treat her with narcotics. From what she tells me, the doctors do not believe that much of the pain is being caused by the disc disease.

     
    Old 02-26-2015, 10:39 AM   #7
    teteri66
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    Re: MRI Interppretation Help

    I am very comfortable reading MRI reports of the spine. However, when it veers off into another part of the body, I do not feel comfortable commenting. I would be surprised if her pain is coming from the thoracic issues that you listed here. The cord effacement should be watched because it could turn into something if it gets worse. If it were to get much worse, it could lead to paralysis. But the way it is described now, I would be surprised if it were causing pain....

    The person seems to have some lesions that include ones that form from blood vessels, others formed from the lymph, etc. several are quite small with the largest being 7mm...which isn't all that large...so I wonder what is causing her pain.

    Could you tell us her symptoms? Is the pain continuous? What brings it on, makes it better or worse? Where specifically is the pain located?

    There isn't that much going on in the report...the DDD which is resulting in the disc issues and then the various lesions which seem to be in soft tissue in front of the spine.

    Last edited by teteri66; 02-26-2015 at 10:47 AM.

     
    Old 02-26-2015, 11:42 AM   #8
    Disnina
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    Re: MRI Interppretation Help

    Originally she went to the doctor for shortness of breath and chest pain. Heart is fine, lungs are fine, blood work ok.
    She was diagnosed with Costochondritis. The pain meds weren't helping much, so after three weeks at follow-up, the doctor asked where the pain was. It was radiating into her back, so the GP sent her to a physiatrist, who in turn ordered the MRI.
    Her pain is continuous, but worse at night. She has muscle tightness and spasms. Her breathing problems have eased and so has the tightness in her chest. Right now she is taking Flexeril, she just started taking that so I don't know if that has given her relief.

     
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