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  • sunnyar29
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    Post count: 3

    Hello Dr Corenman,
    I would really appreciate amd it would be very helpful, if you could interpret my MRI and explain me more about my condition in layman terms and what could the possible solution to overcome this condition.

    TECHNICAL FACTORS: Long- and short-axis fat- and water-weighted images were performed.

    COMPARISON: None.

    FINDINGS: No evidence of lumbar spine fracture and vertebral body heights are nonnal. Mild loss of intervertebral disc space height at L5-5I and to a lesser extent L4-L5 with associated disc desiccation. intervertebral discs are normal. Mild endplate degenerative changes and small Schmorl’s node along L5-S1, otherwise endplates are intact.

    Thoracolumbar junction is intact. Lumbar spine lordosis is straightened with a grade 1 retrolisthesis of L5 on
    S1. Anterior and middle columns are intact as well as the anterior and posterior longitudinal ligaments. No focal
    ligamentous disruption or epidural fluid collection.

    Vertebral marrow signal is normal.

    Conus medullaris is at T12-L1 and visualized spinal cord and cauda equina nerve roots are normal. No evidence of an intradural or extradural mass.

    T12-L1: No focal disc herniation or spinal canal stenosis. Neural foramina are patent.

    L1-L2: No focal disc herniation or spinal canal stenosis. Neural foramina are patent.

    L2-L3: No focal disc herniation or spinal canal stenosis. Neural foramina are patent. Mild facet arthropathy
    with mild interfacet edema.

    L3-L4: No focal disc herniation or spinal canal stenosis. Neural foramina are patent. Mild facet arthropathy
    with mild interfacet edema.

    L4-L5: Shallow concentric spondylotic disc displacement without spinal canal stenosis. Neural foramina are patent. Bilateral facet arthropathy with mild interfacet edema.

    L5-S1 : Grade I retrolisthesis of L5 on S1 with a mild concentric spondylotic disc displacement and a superimposed left central/lateral recess disc extrusion/herniation effaces the descending left S1 nerve root
    without spinal canal stenosis. Associated annular rent/discal cyst. Neural foramina are patent. Bilateral facet arthropathy with mild interfacet edema.

    Prevertebral and paraspinal soft tissues are normal.

    Visualized soft tissues of the abdomen and pelvis are unremarkable.

    CONCLUSION:
    1. Subtle retrolisthetic microinstability at L5-5I with a mild concentric spondylotic disc displacement and a left
    central/lateral recess disc extrusion/herniation effaces the descending left S1 nerve root without spinal canal stenosis. Findings may correlate if tho patient has left-sided symptoms.
    2. No additional focal compressive disc hemiations, spinal canal stenosis, or high-grade foranimal narrowing
    at any level.
    3. Straightened lumbar lordosis with multilevel mild disc disease and multilevel facet arthropathy with varying
    degrees of mild interfacet edema. Findings may contribute to the patient’s overall back pain.

    Thanks alot

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    MRIs do not live in a vacuum. I need to be able to compare MRI findings to your symptoms. See https://neckandback.com/conditions/how-to-describe-your-history-and-symptoms-of-lower-back-and-leg-pain/ to be better prepared to describe your symptoms.

    Dr. Corenman

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