Back pain with MS

[Lil Bo Peep]

52 yo woman with dx MS suffering from terrible back pain. MRI done to look for lesions on spine.   None noted but following:

what does the following mean:

1.  L4-L5 level demonstrates mild circumferential disc bulge w/o central canal or neural foraminal stenosis. Moderate to severe bilateral facet arthrpathy is noted.

2. There is a hemangioma in the vertebral body of T6.  Additionally, there is a 4mm focal T1 hypointensity in the superior end-plate of T9.  This is associated with enhancement following contrast admnistration.

3.  There is a focal disc bulge at T7-T8, causing an imprint on the ventral cord surface.

4.  There is mild retrolisthesis of C5-C6.  There is multilevel disc desiccation including C2-C3, C3-C4, C4-C5, C5-C6 and C6-C7.  There is disc space narrowing at C5-c6.  Anterior osteophytosis is noted at C5-C6.

5. Evaluation of C4-C5 llevel demontstrates a mild circumferential disc bulge.
6. Evaluation of C5-C6 level demonstrates a mild circumferential disc bulge. Bilateral facet arthropathy is noted.

7. There is minimal anterolisthesis of L4-l5.  there is multilevel disc dessication, including L3-L4, L4-l5 and L5-S1.

8. Evaluation of the L3-L4 level demonstrates a minimal circumferential disc bulge. Mild bilateral facet arthripathy is noted.

8. Evaluation of the L4-L5 level demonstrates mild circumferential disc bulge.  Mild bilateral facet arthropathy is noted.

9. Evaluation of L5-S1 level demonstrates a minimal circumferential disc bulge .  Mild bilateral facet arthropathy is noted.