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365281 tn?1200059308

HELP SPINAL MRI RESULTS ARE HORRIFYING.QUIX ANYONE PLEASE HELP

Hi
Well i had to go to the ER last nite due to this recent onset of extreme lower back pain. I had the mri  of spine done at this facility and i have an appt w/neuro tuesday for results.
so the er doc pulled the reults of my spinal mri while i was there and gave me the worst news. i have lesions on my spine i have central and foraminal stenosis at L4 and L5. also have a 5.0 hyperintense mass invoving the lower pole of right kidney. there is also mild lumbar scoliosis. i also have a mild bilateral inferolateral stenosis.
Quix or anyone ?? what doe this all mean??? The er doc said this was all in line with the ms dx.
my brain mri noted numerous foci in deep white matter subcortal in both hemispherres of cerebrum.
This pain is intolerable and i am so worried because this does not look good...
PLEASE if anyone knows anything please let me know
Thankyou all
18 Responses
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365281 tn?1200059308
Homey
I was just leaving you a "have a wonderful hubby" weekend!!!
I know all too well how special they are
Luv ya rite back
Helpful - 0
220917 tn?1309784481
Hey, Girl~

I'm SO glad Quix got hold of you and you're feeling like you have a better perspective today.  Me, too!  I was SO worried!

I HAVE to run to a baptism now.  Will catch up with eeryone later.

Love ya!  Hang tight!

Zilla*  xxxooo
Helpful - 0
365281 tn?1200059308
Thanks soo much and because fo you Quix i was able too fall asllep all the way somtime this am.
I guess i let the er experience get the best of me.........
It's just so much stuff and i was a little foggy.
Im just excited to see the neuro on tuesday... hell only to be reff'd to yet another doc for more test!!!!!!
HERE WE GO AGAIN!!!
So i had 4 kids reek havoc on my body and now have a infant sized mass on my rt kidney that im carrying around awaiting delivery!!! LMFOA
As you can see my sense of humor is back
which is a tell tale sign that i will be just fine!!!!!!!
I cannot thank you all for what you do for me... helll i never check my email  anymore who cares what the others say or want!!!! I sign on and ccome rite to my favorite spot..... HERE!!!!
HUGE HUGS  for you all and deep thanks
Cherby xxxooo
Helpful - 0
147426 tn?1317265632
Oh, Cheryl, I'm so sorry that you are in pain, but glad the ER doc listened and believed.  But, Hon, it's not clear to me that the results are so bad.  But, the report you gave us is a little vague.  Do you have lesions in the spinal "cord" itself?  If so you may be close to a diagnosis.

The 2 inch mass opn the kidney will have to be addressed by a specialist, likely a nephrologist.

The spinal things we hear all the time.  It's part of osteoarthritis.   When what you wrote talked about central stenosis at L4-5, it didn't say mild, mod, or severe.  People live a long time without symptoms from mild central stenosis in the lower back.  The foraminal stenosis can also be mild to severe and the report should talk about whether the nerve roots were being compressed.  If they are that is a possible reason for your sudden severe pain.  You need to know that the spinal cord does not reach below the thoracic vertebrae.  So central stenosis at L4-5 could not place any pressure on the spinal cord.

You need more information before this sounds really bad.  If there are lesions on the spinal cord then that makes the diagnosis of MS more likely.

Almost all people have some, mild scoliosis (little known factoid).  So mild lumbar scoliosis could be an incidental finding and nothing to worry about, or it could be caused by pain and the spasm of one side pulling the back over.  It's not a worrisome finding in and of itself.

Mainly, it's important to take care of your pain.  I'm sending you all my best soothing and healing thoughts.  We'll see what Tuesday brings.  I hope the neuro guy shows a little more time and compassion on this visit.  If he starts to dump something on you and walk out, insist that he come back and explain some things.  Can anyone go with you?

You've got over a hundred people here "covering your six."  Love and hugs..

Quix
Helpful - 0
365281 tn?1200059308
Thanks Homie fo the "bump"!!!
Ive slept just about all day..... and have let this all soak in. Im mentally preparing myself for tuesday and i will have more answers fo all of us..... hopefullt\y!!!!!
Heather I was upfront w/er doc and told him my story and how i was in the midst of  "A" diagnosis and told him my spinal mri was done at that facility so he could see i was just not some crack pot wanting pain meds...lol
He gave me a shot of morphine and gave me a rx for percocets.
the shot was a life saver and these pain pills are working.
I also told him that i have vicodin at home and it just didnt even take the edge off.
I know my first post was pretty rambled due to the fact i was in shocked????  But im back agin and ready to rumble...lol
I cannot thank you all enough. you have been my sunshine in the midst of such gloom.
Ill take good notes tuesday :)
Thanks cheryl
Helpful - 0
220917 tn?1309784481
Bumping up...
Helpful - 0
195469 tn?1388322888
Oh sweetheart....no wonder you have been in so much pain, with an MRI that shows those kinds of results.

What did they give you in the ER for the pain?  And what are they going to do, if anything to treat your back problems?  I ask these things, because my spinal MRI of last week, showed significant changes in my spine in addition to the MS lesion in my upper thoracic region. that I have had for 12 years..

I am SO sorry you have been in such horrible pain.  I have begun to suffer from alot of lower back pain, with bulging disks and now mild spinal stenosis, so what you have experienced and gained medical help for...may give ME some important information.  I try to help people with MS, but when it comes to back problems, I am at a total loss.  Would you mind helping me to understand a little bit more about the treatment of such things?

Be well sweetheart and I hope you are feeling better.

Heather
Helpful - 0
Avatar universal
Craig has a 3.0 cm mass on the upper pole of his left kidney found on a CT scan.  The radiologist said it is not malignant from its appearance and does not need further treatment.  he will have a repeat CT scan in a year to monitor.  I hope that is the same outcome for you.

  Elaine
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378497 tn?1232143585
That's 2 inches.
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365281 tn?1200059308
thanks you all very much. I took another look at the size of mass on my kidney and it is 5.0 CM. Is it as big as you say E?????
Not sure where on the spine they ae located trust me when i say i was in a fog (after a shot) and cannot remember. However my brain lesions were numerous non-specific foci. I posted that reult verbatim a few months ago. quix had said the location mine were on line with poss ms.location.
Can anyone give me a comparison of how large 5.0CM is????????
Thanks ladies.... you all ae GRRRRREAT!!!
Helpful - 0
378497 tn?1232143585
Hi Cheryl--

The lumbar stenosis means that in the center of the spinal cord and where the nerves exit, things are tightening up, probably trapping nerves and causing problems. The scoliosis means, as you probably know, that your spine has gone all curvy on you in your lower back. That could actually be causative of the stenosis you've got.

Where were your spinal lesions? If they were C-spine or T-spine, then that's strongly linked to MS. But the word "lesion" could also be associated with something the MRI picked up in the bone, benign spots that aren't associated with pathology.

The kidney findings could be a number of things, including benign fatty tumor type things and other benign disease. I think the 5.0 must be....mm? Cm would be REALLY large. Hard to say...you'll probably be referred for a urol workup.

Your brain MRI could be indicative of different dx...I think it would depend on where your spinal lesions were for better confirmation. Subcortical DWM foci may arise from many causes. Were there any indications regarding size or number or orientation or greater specificity about their location? As we age, there may be more of these in the brain, consistent with age; however, an impression would be expected to say as much. Did it say "nonspecific" or anything about "vascular"?

You wouldn't necessarily be expected to have abnormal EMG results in MS; it may be that there was nothing abnormal that the doc saw, which would not be that informative in the context of MS.

Bottom line: Least-worst case scenario: your sudden-onset lower back pain is attributable to all that nerve entrapment/stenosis you've got going on and you may find immense relief from surgery, and you've got a fatty, benign tumor on your kidney, along with the typical foci in the white matter associated with aging.

What it comes down to is what the "lesions" are that you reference: Were they observed in the spinal cord or somewhere else?

E
Helpful - 0
220917 tn?1309784481
Hey, Homey~

I am just tearing up reading your post.  I'm SO sorry you are in such pain and have had such news.  I can imagine you are devastated.  I'm glad you have a supportive family.  We are here, too.

The lesions in your spine and brain will certainly lead to a diagnosis for you, an you can start treatment to stop disease progression.  That's a good thing, for sure.

I just hope they are able to manage the pain well for you.  I don't know why it would come on so suddenly and fiercely.  I had foraminal stenosis in my neck which caused radiculopathy (and pain) in my arm.  

The foramen is on the side of the vertebra where the nerves come through.  (If I remember correctly)If there is spurring which impinges the nerve root, you can have symptoms.  Spurring can cause bone-on-bone pain, too, especially if your disks are damaged.  The disk damage doesn't always show up on an MRI as well as an X-Ray.  That's all I know.  Your report seems to say there are a lot of reasons for pain, for sure!

The kidney thing I don't get.  What did they say about that?  Oy!

Keeping you in my prayers.  Hang tight until Quix can comment, Cheryl,

Big hug,

Zilla*
Helpful - 0
Avatar universal
I am very sorry to hear of your pain.  My husband, Craig, who is in limboland now but new neuro  this week, has horrible pain at T12.  He had a bone scan of his thoracic spine which showed "unexplained increased uptake" at T12 but nothing seen on a MRI.  

He tells me the pain is very bad.  Do you have spasms of the paraspinal muscles located next to the spine??  Craig does.

I hope you can convince your neuro to give you something besides percocet for the pain.  I think the pain is neurogenic (nerve ) pain, but hopefully someone who knows more can let you know if I am right.

Take care.  Sometimes a heating pad on low heat can take Craig's mind off of the pain.  I

The forum is always here for you.
Elaine
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365281 tn?1200059308
I want to thank you all for you kind words and support!
Yes i have my wonderful hubby of 27 yrs and my children are 27yrs, 23 yrs, 21 yrs and last but not least our beautiful ooops ..Lyric she is 10 yrs old.
It has shaken all of us cuz it all came on so hard and fast..... i have always been healthy and even gave birth to my 4 babies w/out any meds...... so i truly have a high tolerance level. i was given percocet last night and i took one today and the pain is still intense and i cannot stand for more then like 10 minutes.
If you seen my prev post about my doc not giving me my results from all the recent testing when i went to see him for an emg of my spine and legs.. well i can see why now...... this is devastating!
Thankyou all so very much.......
Helpful - 0
251222 tn?1270936117
Hey lady,

Just wanted to send some cyber thoughts and hugs for you. I can't offer any advice but hope your pain eases soon.


Jazzy

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333021 tn?1207759633

hi

Sorry you are so upset. Have you been dx.d ?  I can't say what this means , Tthe lesions are just that and you have a pretty good idea already what they indicate and the E.R. guy supported those feelings .

Its got to be incredibly difficult for you right now .  Is there anyone you can talk to in person , someone to give you a hug and a shoulder?  If not(or in conjunction) everyone here will help you through all of this .

Be very gentle with yourself today . Do all the things you know that are soothing to you.

((((HUGS )))and Prayers     Jo
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373367 tn?1246402035
I can tell you a few things.  I had a cervical MRI that mentioned "stenosis and foraminal narrowing, and it mentioned mild scoliosis"  I was told that this was normal aging and wrinkles on the inside.  Mine even said stuff like, severe stenosis and impingement on the nerve root, etc.  I can look it up if I need to.

I am sorry I can't help you with the other findings, but I am sure that someone else will have some knowledge about it.

Stacey
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Avatar universal
I don't know what all this news means. But just wanted to say I'm so sorry to hear it.

Hang in there!!
Helpful - 0
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