[Donald Corenman, MD, DC]

#33169

You can develop neck pain and rarely some arm pain from this condition but many patients have this and don’t even know they do.

Dr. Corenman

PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
 
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.

[sunnyar29]

#33256

Hello Dr Corenman,
I qould 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-:
1. otherwise endplates are intact.

Thoracolumbarjunction is intact. Lumbar spine lordosis is straightened with a grade I retrolisthesis of L5 on
SI . 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-LI and visualized spinal cord and cauda equina nerve roots are normal. No
evidence of an intradural or extradural mass.

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

Ll-L2: No focal disc herniation or spinal canal stenosis. Neural foramina are oatent,

L2-L3: No focal disc hemiation 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.

L5-5I : Grade I retrolisthesis of L5 on SI 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

[sunnyar29]

#33259

Please ignore this post as I posted my query as a sepearte question.

Thanks

[Donald Corenman, MD, DC]

#33262

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

PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
 
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.

[Laura1963]

#33512

Dr Coreman, please can you tell me if this is permanent or canit be repaired please and thank you, as i am very symptomatic

Clinical history ..Rule out any lesion for trigeminal

Vascular Loop..The superior cerebellar arteries crossover the superior aspects of the cisternal segments of the trigeminal nerves bilaterally with possible mild indention

Cavernous sinus and Meckels cave..normal ..no masses

internal auditory canals..unremarkable

Brainstem and cerebellar ..normal no mass acute infarct , or demyelinating lesion.

Mnndible unremarkable

muscles of mastication ..unremarkable

skull base bones..normal marrow signal without mass or abnormal enhancement

Remaining Brain Parenchyma…No accute infarct , hemorrhage , hydrocephalus, no signiciant burden of white matter chronic small vessel diease

TOF MRA time of flight MRA demonstrates no hemodynamically significient stenosis of bilateral proximal ACAs MCAs or PCAs .There is ectasia of the cavernous segment of the left internal cartoid artery.Right fetal PCA. Right dominant vertebral artery. No large aneurysms or AVMs.

Other findings ..paranasal sinus and mastoids are clear ..T1 isointense, T2 hypointense subcutaneous lession over the left parietal scalp , most likely in keeping with an epidermal inclusion cyst verses trichilemmal cyst.

Summary
The superior cerebellar arteries crossover the superior aspects of the cisternal segments of the trigeminal nerves bilaterally with possible mild indention , which are equivocal findings to neurovascular complex

Can you please explain this MRI to me section by section please and thank you …And what are my options for this to be corrected ..Greatly appreciated very much ..Anxiously awaiting for your reply, thanking you in adavnce..Happy Belated New Years

Sincerely Laura

[Donald Corenman, MD, DC]

#33513

I am certainly not an expert on reading a brain MRI. From my limited knowledge, this looks to be an unremarkable MRI reading.

Dr. Corenman

PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
 
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.

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