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What Do My MRI Scan Test Results Indicate?

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Posted on Mon, 16 May 2016
Question: i had an mri done it read that L4L5 had right laminectomy. the large central disc herniation has been removed in 2011 there is however recurrent left paracentral disc herniation. This severley narrows the left lateral recess. there is mild spinal stenosis, neural foramen are adequate. L3L4 patient has undergone right laminectomy, there is disc space narrowing with broad based posterior disc bulge



i forgot to report impression new left paracentral L4 L5 disc herniation
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Answered by Dr. Dr. Erion Spaho (20 minutes later)
Brief Answer:
Treatment depends on symptoms severity.

Detailed Answer:
Hello and thanks for using HCM.

I had gone through your query and understand your concerns.

Regarding to MRI results you shared, there is a two levels right laminectomy done.

Laminectomy refers to the bone removed to decompress neural structures and facilitate disc excision.

Laminectomy contributes partially in spinal column instability.

However, there's still a part of disc that herniated at left L4-L5 level that probably is causing symptoms ( if any ).

There is need for a correlation between these MRI imaging findings and patient's symptoms.

If no severe symptoms, physical therapy (lumbar traction exercises) could help.

If severe and debilitating symptoms, spinal cord decompression (broader laminectomy) and spinal fusion probably are needed.

Hope you found the answer helpful.

Let me know if I can assist you further.

Greetings.
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4493 Questions

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What Do My MRI Scan Test Results Indicate?

Brief Answer: Treatment depends on symptoms severity. Detailed Answer: Hello and thanks for using HCM. I had gone through your query and understand your concerns. Regarding to MRI results you shared, there is a two levels right laminectomy done. Laminectomy refers to the bone removed to decompress neural structures and facilitate disc excision. Laminectomy contributes partially in spinal column instability. However, there's still a part of disc that herniated at left L4-L5 level that probably is causing symptoms ( if any ). There is need for a correlation between these MRI imaging findings and patient's symptoms. If no severe symptoms, physical therapy (lumbar traction exercises) could help. If severe and debilitating symptoms, spinal cord decompression (broader laminectomy) and spinal fusion probably are needed. Hope you found the answer helpful. Let me know if I can assist you further. Greetings.