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MRI LUMBAR SPINE WITHOUT CONTRAST

MRI LUMBAR SPINE WITHOUT CONTRAST

Help understanding MRI RESULTS
FINDING: There is mild to moderate lumbar levoscoliosis compatible with muscle spasm.The lumbar vertebrae are intact.
there is no evidence for infraction, focal destructive lesion or subluxation. No paravertebral soft tissue mass effect is identified.

There is moderate desiccation of all the lumbar intervertebral disc. There is mild disc narrowing at L5-S1.

No singnificant abnormality is identified at T12-L1 intervertebral disc.

At the L1-2 level, there is a central posterior annular tear of the intervertebral disc. There is diffuse posterior disc bulge extending 1 mm into central spinal canal with significant central spinal canal stenosis or significant neural foraminal encroachment at the L1-2 level.

At the L2-3 level there is no significant adnormality of intervertebral disc.

At the L3-4 level, there is central posterior  annular tear intervertebral disc. There is broad-base central and bilateral posterolateral disc protrusion extending up to 3 mm into central spinai canal.There is mild bilateral neuroforaminal narrowing at L3-4 exacerbated by posterior facet hypertrophy and ligamentum flavum hypertrophy.

At the L4-5 level, there is broad-based central and bilateral posterolateral disc protrusion extending up to 3 mm into central spinal canal.
There is accompanying mild bilateral neuroforaminal narrowing at this level exacerbated by posterior facet hypertrophy
and ligamentum flavum hypertrophy. There is no significant central spinal canal stenosis at the L4-5 level.

At the L5-S1 level, there is a central posterior annular tear interverebral dis with central disc extrusion without free frament extending 3 to 4 mm central spinal canal. There is no significant central spinal canal stenosis or significant neural foraminal encroachment at this level. There is mild inferior migration disc material few millimeters along the posterior aspect of the S1 vertebral body central spinal canal centrally.

The conus medullaris is normal in position, configuration,and signal intensity. No abnormal centrtal spinal canal masses are identified.

IMPRESSIONS:
1. Evidence of lumbar strain.
2. Posterior annular tears at L1-2, L3-4 and L5-S1 intervertebral discs.
3. Posterior disc protrusions at L3-4 and L4-5 levels.
4. Central disc extrusion at L5-S1.
5. Mild bilateral neuroforaminal narrowing at L3-4 and L4-5 levels.
6. No significant central spinal canal stenosis lumbar spine.

What does all this mean?. Never had any back pain entil car rear ended me.
will pain go away with treatment.
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