hope the MRI isn't too uncomfortable. Let us know how it goes.
Hi-thankfully, lying in the MRI yesterday wasn’t overly uncomfortable. I have the radiology report but haven’t met with my doctor yet to see what it means. Any insights into the following are welcome:
There is mild stepwise retrolisthesis at L2-L5. There is trace anterolisthesis at T11-T12. There is slight lumbar levocurvature. The vertebral body heights are maintained. There is mild left L4-L5 Modic type I endplate marrow signal. There are scattered Schmorl's nodes. The conus terminates normally at L1 and demonstrates normal signal. There is a small hemangioma within the T11 vertebral body. There are sacral Tarlov cysts at the S2 level measuring up to 1.6 cm in AP dimension on the left.
Level by level:
The last well-formed disc is designated as L5-S1 for the purposes of this report.
T11-T12: There is a small central disc protrusion on sagittal imaging with minimal spinal canal narrowing.
T12-L1: There is a central disc extrusion with annular fissure which measures 3 mm in AP dimension and extends 1 cm above and 4 mm below the disc space with minimal spinal canal narrowing. There is no significant neural foraminal narrowing.
L1-L2: There is no significant disc bulge, spinal canal, or neural foraminal narrowing.
L2-L3: There is a broad-based 2 mm disc bulge without significant spinal canal narrowing. There is bilateral facet arthropathy with small bilateral facet joint effusions and moderate bilateral neural foraminal narrowing.
L3-L4: There is a broad-based disc bulge measuring 2 to 3 mm in AP dimension which together with ligamentum flavum hypertrophy, bilateral facet arthropathy, and epidural lipomatosis results in mild spinal canal narrowing. There are bilateral facet joint effusions. There is moderate to severe bilateral neural foraminal narrowing.
L4-L5: There is a left paracentral disc protrusion measuring approximately 3 mm in AP dimension which contacts the descending left L5 nerve root and together with ligamentum flavum hypertrophy and bilateral facet arthropathy results in mild spinal canal narrowing. There is severe bilateral neural foraminal narrowing.
L5-S1: There is a central disc protrusion measuring 2 mm in AP dimension without significant spinal canal narrowing. There is facet arthropathy with moderate bilateral neural foraminal narrowing.
IMPRESSION:
1. Advanced bilateral L3-L4 and L4-L5 neural foraminal narrowing.
2. Moderate bilateral L2-L3 and L5-S1 neural foraminal narrowing.
3. Multifactorial mild spinal canal narrowing at L3-L4 as detailed.
4. Left paracentral disc protrusion at L4-L5 as detailed contacts the descending left L5 nerve root with mild spinal canal narrowing.
5. Left L4-L5 Modic type I marrow signal, which can be a pain generator.
6. Multilevel listheses as detailed. Annular fissure at T12-L1.
United States
