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severe lower back pain w incontinence
can someone please explain this MRIi have sever lower back pain and i cannot sit with it hurting.  the pain radiates down my leg and accross my butt.  i also have incontinence

mri impression read:
abnormal signal in the posterior disc annulus at L4-L5....accompanied eary degenerative changes is consistant with anular fissure...later can be a source of local back pain and in some cases co-exsist with ridicular symptoms
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1711789 tn?1361311607
Hi there!

Well, without a detailed radiological report it would be difficult to comment specifically. The mentioned part of the report describes an abnormality (likely a tear) in the posterior part of the fibrous ring that surrounds the intravertebral disc, at L4/L5; with associated degenerative changes.
Hope this information is helpful.

Take care!
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Normal segmentation with five lumbar type vertebrae is assumed for the perpose of this dictation with the lowest well formed disc space labeled as L5-S1.
The conus and the cauda equina are normal.  There is no intradural or paravertebral mass lesion.  Alignment is normal.  T1 signal elevation within the L3 vertebral body suppresses on fat saturation consistent with focal fatty marrow.  Elevated T2 is signal is identified posterior laterally in the right L4 vertebra withough involvment of the pedicle.  The lesion has a mazimal ttransverse diameter of 15mm.  It has relatively increased signal on T1 with a speckled appearance being present on T2 weighted images and STIR indicating that the most likely etiology is a vertebral body hemangioma.  Vertebral height and marrow signal are otherwise unremarkable.

The spinal canal is normal in size and the formina are patent.

L4-L5:  Ther is slight degenerative disc desiccation and loss of height.  Elevated T2 signal is present in the posterior disk annulus in the midline but is not associated with a focal protrusion.  The neural formina are widely patent.

The study is otherwise normal.
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