Aa
Aa
A
A
A
Close
Avatar universal

Help with MRI results

I have severe lower back pain and leg pain. My left leg is worse which I'm told is strange. I have swelling on my left hip and up. Numbness and pain down my hip and leg to my feet. I'm looking into surgery. I can't sit stand or lay down for more than a half hour without pain.  I have decreased sensitivity and nerve damage to my legs and right arm.
I've have lower back problems for 15 Years. The last 5 have been increasingly worse I'm in extreme pain daily only sleep 2-3 hours a night. Cannot perform normal activities. In the last year I've been having neck pain and right arm pain and numbness. Any opinion is appreciated I'm over ready to do surgery.


Date/Time Exam Description PACS Acc #
7/6/2016 11:51 AM MRI LUMBAR SPINE

.EXAMINATION: MRI LUMBAR SPINE
EXAMINATION DATE: 7/6/2016 11:51 AM
COMPARISON/CORRELATION: 96 2015
CLINICAL HISTORY: 39 years old Female with ; LOW BACK PAIN AND/OR
RADICULOPATHY, PATIENT CAN HAVE SURGERY/INTERVENTION
ICD code M 47.816
TECHNIQUE:
Magnetic resonance imaging of the lumbar spine performed.
Sagittal T1, T2, sagittal STIR axial, T1 and T2 weighted images,
coronal T1 localizer.
FINDINGS:
Alignment: No measured listhesis. Left-sided curvature positional or
scoliosis.
Conus medullaris: Intact. Normal normal position at the T12-L1 level.
No bone marrow edema.
No vertebral body fragmentation or destruction.

L5-S1: Intact conus.
Bulging component of the disc with protruding disc effacing the
ventral right paracentral margin of the sac. Size about 9.6 x 6.6 mm
craniocaudad a and AP dimension. Moderate canal stenosis. Mild
foraminal narrowing left more than right

L4-L5:
No herniation.
No tight canal stenosis.
No tight foramen. Some of fluid in the facet joint minimal facet
arthropathy.

L3-L4:
Stable disc bulge.
No herniation.
No tight canal stenosis.
No tight foramen.

L2 L3:
No herniation.
No tight canal stenosis.
No tight foramen.

L1-L2:
No herniation.
No tight canal stenosis.
No tight foramen.

T12-L1:
No herniation.
No tight canal stenosis.
No tight foramen.
\H\
\N\\H\IMPRESSION:
Stable. Herniated disc at the L5-S1. Minimal bulge at the L4-L5.\N\
No site of tight Canal a blockage or tight foramina.

RECOMMENDATION:
Clinical correlation and followup would be recommended based on
clinical


Here is a Mri from last year.  September 2015 MRI

T12-L1: There is no focal disk herniation or canal or neural foraminal
stenosis at this level.

L1-L2: There is no focal disk herniation or canal or neural foraminal
stenosis at this level.

L2-L3: There is no focal disk herniation or canal or neural foraminal
stenosis at this level.

L3-L4: Minimal broad-based disc bulge without evidence of central
canal or neural foraminal stenosis.

L4-L5: Minimal broad-based disc bulge without evidence of significant
central canal or neural foraminal stenosis.

L5-S1: Large posterior disc herniation without significant central
canal stenosis. This causes mass effect on the right S1 nerve root.
The neuroforamina appear to be maintained.

Impression:

1. Large posterior disc herniation involving the L5-S1 level with mass
effect on the exiting right S1 nerve root. There is approximately 4 mm
retrolisthesis of L5 on S1.
2. No abnormal signal intensity involving the lumbar spinal cord.
3. Minimal degenerative disc disease at L3-L4 and L4-L5.


I also had a Mri on my neck along with the lower. I'm having problems with my right arm and a lot of pain in the neck and arm.  
Here are those results done this week.
C2-C3: .
Desiccation of the disc space.
No herniation.
No tight canal stenosis.
No tight foramina.

C3-C4:
Desiccation of the disc space.
No herniation.
No tight canal stenosis. No tight foramina.

C4-C5:
Desiccation of the disc space.
Posterior disc osteophyte with indentation along the ventral
paracentral margin of the sac. Mild canal stenosis. Some foraminal
narrowing bilaterally.
C5-C6:
Desiccation of the disc space.
Posterior disc osteophyte indentation along the ventral margin of the
sac some foraminal narrowing. Minimal stenosis. No tight blockage

C6-C7:
Posterior disc osteophyte indentation along the ventral paracentral
margin of the sac moderate stenosis. Mild foraminal narrowing.

C7-T1:
No herniation.
No tight canal stenosis.
No tight foramina

IMPRESSION:

Degenerative changes throughout, primarily at the C6-C7 level.
Discussed above. No site of complete spinal blockage. Follow-up
0 Responses
Sort by: Helpful Oldest Newest
Have an Answer?

You are reading content posted in the Back & Neck Community

Top Pain Answerers
Avatar universal
st. louis, MO
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Find out how beta-blocker eye drops show promising results for acute migraine relief.
Could it be something you ate? Lack of sleep? Here are 11 migraine triggers to look out for.
Find out if PRP therapy right for you.
Tips for preventing one of the most common types of knee injury.
Here are 10 ways to stop headaches before they start.
Tips and moves to ease backaches