Hi Doctor can you tell me what I should do. I need to know if you think I need Surgery.
MRI reads At L3-L4, ventral epidural defect, 2 mm, most likely bulging disc/osteophyte. Minimal stenosis of the central canal in combination with hypertrophic changes posteriorly. Question of mild clumping of the nerve roots. Possible mild arachnoiditis. Mild to moderate neural foraminal stenosis secondary to combination of lateral extension of bulging disc/osteophyte and facet degenerative change.
At L2-L3, minimal ventral epidural defect, approximately 1.5 mm, most likely bulginf disc/osteophyte. No significant central canal stenosis. Minimal right and mild left neural foraminal stenosis secondary to combination of lateral extension of bulging disc/osteophyte and facet degenerative change.
Minimal Modic Type II changes involving the anterior endplates at L3-L4 and L4-L5
1. Post laminectomy and surgical fusion procedure L4-L5 and L5-S1, with no evidence of recurrent disc herniation, central canal, or neural stenosis at these levels.
2. At L3-L4, minimal central canal stenosis and mild to moderate bilateral neural foraminal stenosis.
3 At L2-L3, minimal to mild neural foraminal stenosis. No significant central canal stenosis.
4. Slight irregular appearance/clumpinf of the nerve roots posteriorly, possible mild arachnoiditis.
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