Bammer319

Thanks for the response. Below you will find the report from my MRI from September 2020. This MRI was done prior to the sciatic pain becoming severe and the 2nd microdiscectomy in December 2020. I placed an asterisk beside 2 sections in which my surgeon singled out. He told me I had a bulge at L3-4, which could cause a problem at some point if I had the fusion, but also noted it may not cause a problem at all. Thanks for taking the time to review this.

PROCEDURE NAME: MRI Lumbar W/WO-KIC 09/24/2020

REASON FOR STUDY: Low back pain, pain down the right leg. No recent injury. Previous back surgery.

MRI OF THE LUMBAR SPINE WITH AND WITHOUT CONTRAST MATERIAL:

FINDINGS: MR imaging of the lumbar spine demonstrates normal lumbar vertebral body height and alignment. There is moderate desiccation of disk material at the L3-4 and L4-5 levels.

The marrow component signal return of the vertebra appear normal in this examination.

Post contrast imaging was performed with IV administration of 15mL of ProHance.

**There is a right laminectomy defect at the L4-5 level. There is disk material extending into the right lateral recess and right neural foramen abutting the right exiting nerve root at the L4-5 level. There is no nerve root compression demonstrated in this exam.

At the L3-4 disk interspace level, there is indentation of the right dorsal lateral aspect of the thecal sac secondary to the degenerative changes of the right articulating facet and mild hypertrophy of the ligamentum flavum at this level. There is no significant compromise of the neural foramen demonstrated at the L3-4 level.

The L1-2 and L2-3 disk interspace levels are normal. There is moderate narrowing of the disk interspace at the L5-S1 level. No disk herniation is evident at this level. There is no significant compromise of the neural foramen.

IMPRESSION:
1. Postsurgical changes identified on the right at the L4-5 level.
2. There is disk protrusion into the right lateral recess and neural foramen at the L4-5 level.
**3. Moderate desiccation of disk material present at the L3-4 and L4-5 disk interspace levels.
4. Additional imaging findings as discussed above.