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Re: Looking for an answer MRI report

Posted By CCF Neurology MD - AY on October 08, 1998 at 22:26:58:

In Reply to: Looking for an answer MRI report posted by Brad on October 08, 1998 at 20:08:36:

Hello Again,
  I am submitting the results of an MRI.
I was the guy who had a brawl in Jail and then a few weeks later was getting into my patrol car when something clicked in my back and has caused sever leg,back pain.  I was told that I was born with spinal stenosis
I am really confused as I have never had a back problem in my life.
Untill this recent incident. I am 50 yrs.old. I do not have a clue as to what this Impression means. Your help is greatly appreciated.

Thanks for your feedback.  Here is the interpretation of the MRI results:
L1/2 Mild-Moderate Central Stenosis
L2/3 Mild central Stenosis
L4/5 moderately severe central stenosis.
Basically, the spinal canal throughout the Lumbar segments L1 -> L5 presents
a mild to moderate degree of narrowing.  There are no comments regarding
compression of the spinal cord except at the lowest level, namely L4-L5.

L5/S1 Patent canal and foramina: probable L5 spondylsis defects without
The spinal canal is "open", and so are the spaces (foramina) through which
the nerve roots leave the vertebral column.  There are some bone erosions
(lysis) in the vertebral L5, but there is not "slippage" between the vertebrae
L5 and S1.

At L1/2 there is difuse disc bulging and small canal contributing to mild
:-moderate central stenosis. Foramina are patent. L2/3 there is a low normal-
:mildldy stenotic central canal reflecting the same factors. Foramina are
The intervetebral disc between the vertebrae L1 and L2 protrudes into the
spinal canal, causing a mild-moderate narrowing of the canal.

The L3/4 Level is adequately patent
At L4/5 there is moderatlely severe central stenosis secondary to mild
:disc bulging and marked hypertrophy of ligaments and facets.Foramina appear
:adequately patent.
The spinal canal at L4-L5 is narrowed because of a protrusion of the disc
into the canal.

At L5/S1 canal and foramina are patent. There may be L5 spondyloysis
:defects without evidence of sponkylolisthesis.
The bottom line is: the most severe narrowing of the spinal canal is located
at the level L4-L5, and is caused a bulging of the intervertebral disc
between those two vertebrae.  There is no evidence of nerve root compression
at any of the studied levels as they exit the vertebral column through the
foraminal spaces.
I hope this information is helpful.  Best of luck.
This information is provided for general medical education purposes only.
Please consult your doctor regarding diagnostic and treatment options.

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