could someone help me assess from my radiology report for my MRI report? in particular how bad is it between L4 and L5
I have been having major pain in the last few months ( i had a laminectomy about 16 years ago and just recently i have been feeling a lot of pain)
** HISTORY **:
37-year-old with congenital spinal stenosis. His last MRI was in
1995. He has severe pain.
** FINDINGS **:
MRI of the lumbar spine was performed. Sequences include T2 and T1
sagittal and axial images.
There is normal alignment and stature of the lumbar vertebral
bodies. There is severe lateral disc height and disc desiccation
at L3/4, L4/5 and L2/3. There is associated degenerative endplate
changes at L3/4 and L4/5 with endplate edema and osteophyte
formation. Schmorl's nodes are identified at the endplates of L2,
L3, and L4.
The conus medullaris terminates at L1. It is normal in signal and
caliber. The following levels were imaged in the axial and
L1/2: The spinal canal and neural foramina are patent. There is
mild facet degenerative change.
L2/3: There is a diffuse posterior disc bulge, facet arthropathy
and ligamentum flavum enlargement. As a result, there is mild
spinal stenosis. The L2 neural foramina are patent.
L3/4: There is significant facet arthropathy and ligamentum flavum
enlargement. There is also a diffuse disc bulge with a focal
central disc protrusion. As a result, there is mild spinal
stenosis. There is mild left neural foraminal narrowing. The right
neural foramen is patent.
L4/5: There is a diffuse disc bulge and focal central disc
protrusion. There is also significant facet arthropathy. As
result, there is moderate spinal stenosis. There is moderate
bilateral neural foraminal narrowing.
L5/S1: There are facet degenerative changes. The spinal canal is
patent. There is mild bilateral neural foraminal narrowing.
The surrounding soft tissues are unremarkable.
** IMPRESSION **:
Multilevel lumbar spondylosis as described above at each
individual axial level. The findings result in moderate spinal
stenosis at L4/5 and moderate bilateral L4 neural foraminal
The MRI report describes degenerative disc disease and signs of degeneration (osteophytes/ schmorl’s nodes), with spinal canal narrowing at L2/L3, L3/L4 and L4/L5; and narrowing of the spaces that carry the spinal nerves at L3/L4, L4/L5and L5/S1.
Hope this is helpful.
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