Avatar universal

how serious is my MRI results

Can someone help me understand this MRI result a little better, please?

CLINICAL INDICATION: 32 year old (M) with  Lumbago, bilateral lumbar radiculopathy.

COMPARISON: None available.

TECHNIQUE: Multiplanar MRI was performed through the lumbar spine prior to and following intravenous contrast administration.

FINDINGS: For the purposes of this dictation, the lowest well formed intervertebral disc space is assumed to be the L5-S1 level, and there are presumed to be five lumbar-type vertebral bodies.

At T12-L1, there is a left foraminal disc protrusion which does not cause significant canal or neural foraminal stenosis.

At L5-S1, there is diffuse disc bulging with a superimposed left paracentral disc protrusion displacing the left S1 nerve root, and causing mild to moderate right and mild left neural foraminal stenosis. There is mild facet arthropathy. No significant
spinal canal stenosis. The there is abnormal contrast enhancement noted in the spinous process joint suggesting an inflammatory process. There are Schmorl's nodes with edema and inflammatory change at the endplates

The vertebral bodies are normally aligned. The vertebral body heights are well preserved. The signal intensity from the vertebral body bone marrow and spinal cord is normal. The conus medullaris ends at a normal level.

There is marked, symmetric enlargement of the visualized lumbar and sacral nerve roots, especially the bilateral S1 and S2 nerve roots as they exit the neural foramina.


IMPRESSION: L5-S1 left paracentral disc protrusion displacing left S1 nerve root. L5-S1 endplate degeneration and spinous process joint inflammatory process.

Marked lumbar and sacral nerve root enlargement, which is a nonspecific finding and which could reflect an underlying hypertrophic or demyelinating polyneuropathy or the presence of multiple nerve sheath tumors (e.g. in the setting of neurofibromatosis
type I or type II). Clinical correlation recommended.
0 Responses
Sort by: Helpful Oldest Newest
Have an Answer?

You are reading content posted in the Neurology Community

Top Neurology Answerers
620923 tn?1452915648
Allentown, PA
5265383 tn?1483808356
1756321 tn?1547095325
Queensland, Australia
1780921 tn?1499301793
Queen Creek, AZ
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.
In this special Missouri Medicine report, doctors examine advances in diagnosis and treatment of this devastating and costly neurodegenerative disease.
Here are 12 simple – and fun! – ways to boost your brainpower.
Discover some of the causes of dizziness and how to treat it.
Discover the common causes of headaches and how to treat headache pain.
Two of the largest studies on Alzheimer’s have yielded new clues about the disease