Pre op MRI Post MRI problem

Hi, just a question on if my surgeon is on track with my MRI findings.  I had a problem with my back about a year ago now, here is the Pre op MRI
PATIENT TYPE
30yr M )
IIIS ID# t1
R3 rD {
1009g24581

ADMISSION DATE 1050 /Jan,/01 Sat 14:00
ORDER COMPLETION 2009 /Tcb./03 Tue 12: 19
REASON; 2 YEAR PAIN RIGHT LEG TINCLING
EXAMS; 9387163 BOTH }IR L SPINE
REQUESTING SERVICE FD.I, F'T[C DIAGNOSTIC IMAGING OP
KfrrE-GORDON
MB L SPINE
TECHNIOUE: f30L -
SagittalTlW Sagittal FSE T2W
Axial T1W Axial FSE T2W
FINTXNGS:
ROUTINE L-SPINE
2009/Feb/O3
The patient has a developmentally narrow spinal canal with superimposed degenerative changes.
At the L3-4 level there is a diffuse disc bulge causing indentation ol the thecal sac with bilateral degenerative facet changes as well as ligamentum flavum hypertrophy contributing to cause moderate degree of central canal stenosis, There is also mild foraminal narrowing bilaterally without causing definite nerve root irnpingement.
At the L4-5 level there is a diffuse disc bulge In combination with ligamentum flavum hypertrophy and degenerative facet changes causing a severe degree of central canal stenosis. The foraminal zones bilaterally show minlmal narrowing without causing any definite nerve root impingement.
At the L5-S1 level there is a diffuse disc bulge with a posterior annular tear centrally causing
indentation of the thecal sac, There is very mild lateral reccess stenosis more towards the left without causing definite nerve root impingement. Mild facet degenerative changes are seen. Mild left-sided foraminal narrowing is seen without causing any definite nerve root impingement, The spinal cord ends at normal level with normal conus and cauda equina .
IMPRESSION:
Multilevel degenerative changes in the lower lumbar spine worst at L4-5 level causing severe degree of central canal stenosis and to a leaser degree at the L3/4 level as described.

So after all this I got an app. to see surgeon and he ordered a Microdiscectomy and Laminectomy L 4/5  When he went in he found the Ligamentum severe so he changed procedure to Laminotomy.   this was Sept 22, 2009

Now instead of the right leg hurting the left does.  I did get better about 3 weeks post op and was almost off of meds.  And then I went to emergency post op and they told me I was still healing. I was back up to 10 meds a day. Then I went to surgeon and he said he needed MRI so I went Private and got one, he disagreed with the dictation of the MRI report and looked at the disc pictures.  He said the disc that he removed most of up to 70 % was now protruding into my left side of my spinal canal.  here is the report post op from MRI


TR STUDY OF THE LUMBAR SPINE : Previous discectomy on September 22,2009, Still having leg pain. Technique:
MulUplanir images of Urc lumbar spine were obtained both pre and post Gadolinium administration es per standard post-op protocol.
Findings: There is no
preopreative MRI available for comparison at the time of this dictation, At L4-5: There hat been e previous bilateral lamimectomy and fanestration of the
ligamentum flavum. Post Gadolinium lmages demonstrate moderate to severe post surgical scar formation that is appropriate
given thc patient's recent surgery, There is a fluid collectlon seen posteriorly along the L4 spinous process
presumably a portsurgicel seroma. There ls no recurrent disc protrusion or central/neural foraminal stenosis. No
abnormal enhancement of the disc to suggest discitis,
At L5-S1; There is a diffuse left paracentral disc bulge that results in mild to moderate left
neural foramal stenosis. No central stenosis, right neural foraminal stenosis, or dlsc protruslon noted.
At L3-.4: There is mild degenenative disc bulging resulting in mlld central canal stenosis. No neural foraminal
stenosis or disc protrusion noted' The remaining levels of the lumbar splne and the lovver two thoracic disc levels are
normal, The sagittal STIR sequence demonstrates no bone marrow edema. There is some mild
edema Within the paralumbar musculature consistent with recent surgery.
The conus medullaris is normal.

There is no evidence of arachnoiditis,
impression: 1, Postsurgical change at L4-5 wlth an associated presumed seroma abutting against
the spinous process of the L4 vertibra. There ls no evidence of a recurrent disc
Protrusion.
2. No evidence of a new disc protrusion
In the non-surgical levels. Incidental note ls made of degenerative left paracentral.disc bulglng at L5-.S1 causing mild to moderate left neural foraminal stenosis. Clinical correlation for left L5 radiculopathy ls
recommended to confirm or refute the significance of this findlng.



Sorry about the spelling mistakes I copied these from PDF and they are all goofed up now.
Diagnosis as of now is to stay on pain meds wait for another MRI in Jan 2010.

IF ANYONE CAN HELP WITH THIS PLEASE PLEASE PLEASE HELP ME!!!

THANK YOU,
Gordon