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    Old 08-02-2012, 07:34 AM   #1
    Trumpet26
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    help to understand mri findingd

    MRI LUMBAR SPINE:


    There is minimal anterior and end plat osteopphyte formation. Small end plate depressions are seen at multiple levels. Vertebrae are otherwise unremarkable in height, alignment and marrow signal intensity


    There is disc desiccation and posterior annular tear at L4-5 level


    T12-L1and L1-2: There is no significant disc bulge or compromise of spinal canal and bilateral neural foramina


    L2-3 and L3-4 levels: There is mild diffuse disc buldge causing mild narrowing or spinal canal and bilateral neural foramina


    L4-5 There is diffuce disc bulge with posterior central small disc protrusion and mild ligamentum flavum hypertrophy causing mild narrowing of spinal canal and bilateral neural foramina.


    L5-S1 Level: There is not significant disc bulge or compromise of spinal canal and bilateral neural foramina


    Conus Medullaris and cauda equina appear unremarkable in signal intensity.



    MRI Thoracic Spine


    Vertebrae are unremarkable in height, alignment and marrow signal intensity


    There is partial disc dessication at T9-10 levels


    There is ligamentum flavum thickening at T5-6 to T10-1 levels causing indentation on the dorsal epidural fat


    There is not significant disc bulge at T1-2 to T11-12 levels. Spinal canal and bilateral neural foramina are otherwise patent


    Thoracic cord is unremarkable in signal intensity
    Can anyone provide info on my diagnosis

     
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    Old 08-02-2012, 08:21 AM   #2
    WebDozer
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    Re: help to understand mri findingd

    The ligamentum flavum runs longitudinally down the back of the spinal canal, and helps hold the otherwise-horizontal aspects of the spine together. When the ligament hypertrophies, the excess growth goes into the spinal canal. When you also have a disk bulge coming from the front, your canal is being squeezed from two directions. Thus, even if both conditions individually are "mild", the combined effect on the canal can be worse than mild.

    In your case, though, the radiologist is explicit that the combined narrowing (stenosis) of the canal is still only "mild".

    Radiologists, by the way, commonly use minimal/mild/moderate/severe to describe levels of severity, so you can see that "mild" means something like "I can clearly see it, but I'm not worried about it".

    The "annular tear" at L4-5 is not an unusual condition. It means that the tough outer shell of the disk (the annulus) has torn, and some of the soft inner filling has squeezed out. This is pushing into the canal from in front. Probably more important - for your symptoms - is that it's also pushing into the foramina on both sides. These are the holes in the sides of the spine - just behind the vertebral column - through which the nerves pass on their way down your legs.

    One might infer from the report that the radiologist thinks that this narrowing at L4-5 is still only "mild", but it's not altogether clear.

    My uneducated amateur's guess is that the doc who ordered the MRI will want you to go for PT, which may very well be a big help.

    If I were a surgeon - and, of course, I am not - I don't think I'd see anything here that I'd consider worthy of surgery.

    I don't know if you've seen a surgeon, or what the ordering doc had to say about the MRI, but I'd strongly urge you to get someone else to look - not only at the report, but also at the images - if you are in any doubt.

    Last edited by WebDozer; 08-02-2012 at 08:29 AM.

     
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