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What Does My MRI Scan Report Indicate?
Question: What exactly sclerotic changes seen ! It is cancer ?
Narrative
LOCATION: SHRB
MR LUMBAR SPINE WO and W CONTRAST (MR-37) MR-37
Impression
IMPRESSION:
1. Mild degenerative changes within the lower thoracic spine and at
L5-S1 without significant spinal canal stenosis or neural foraminal
narrowing.
2. No MRI findings to suggest infection at this time.
INDICATION: Back Pain
TECHNIQUE: Parasagittal and axial T2-weighted images were acquired.
Parasagittal and axial T1-weighted images were acquired pre and post
intravenous administration of paramagnetic contrast material.
CONTRAST: 15 of 15 ml Magnevist
COMPARISON: CT abdomen pelvis from 12/17/2014
FINDINGS:
There are five non-rib bearing lumbar vertebra.
The alignment of lumbar spine is within normal limits.
The conus medullaris terminates at L1. No abnormal signal within the
lower thoracic cord or conus medullaris. No morphological
abnormalities of the lumbosacral nerve roots. No abnormal
enhancement within the lumbosacral thecal sac.
There are multiple Schmorl's nodes throughout the lower thoracic and
upper lumbar spine. Sclerotic changes are seen at the anterior
inferior endplate of L1, which appear to be associated with a small
endplate defect.
No paraspinal phlegmon or fluid collections. No abnormalities of the
paraspinal muscles.
No abnormal T2 signal within the disc spaces. No masslike areas of
abnormal marrow signal intensity.
No evidence of epidural fluid collection.
The included retroperitoneal and pelvic contents are within normal
limits.
Findings by Level:
T12-L1: Small circumferential bulge without significant spinal canal
stenosis or neural foraminal narrowing.
L1-L2: Unremarkable
L2-L3: Unremarkable
L3-L4: Unremarkable
L4-L5: Unremarkable
L5-S1: Loss internal disc signal with small central annular fissure
and protrusion. No impingement of the transiting nerve roots or
significant spinal canal stenosis. No significant neural foraminal
narrowing.
Narrative
LOCATION: SHRB
MR LUMBAR SPINE WO and W CONTRAST (MR-37) MR-37
Impression
IMPRESSION:
1. Mild degenerative changes within the lower thoracic spine and at
L5-S1 without significant spinal canal stenosis or neural foraminal
narrowing.
2. No MRI findings to suggest infection at this time.
INDICATION: Back Pain
TECHNIQUE: Parasagittal and axial T2-weighted images were acquired.
Parasagittal and axial T1-weighted images were acquired pre and post
intravenous administration of paramagnetic contrast material.
CONTRAST: 15 of 15 ml Magnevist
COMPARISON: CT abdomen pelvis from 12/17/2014
FINDINGS:
There are five non-rib bearing lumbar vertebra.
The alignment of lumbar spine is within normal limits.
The conus medullaris terminates at L1. No abnormal signal within the
lower thoracic cord or conus medullaris. No morphological
abnormalities of the lumbosacral nerve roots. No abnormal
enhancement within the lumbosacral thecal sac.
There are multiple Schmorl's nodes throughout the lower thoracic and
upper lumbar spine. Sclerotic changes are seen at the anterior
inferior endplate of L1, which appear to be associated with a small
endplate defect.
No paraspinal phlegmon or fluid collections. No abnormalities of the
paraspinal muscles.
No abnormal T2 signal within the disc spaces. No masslike areas of
abnormal marrow signal intensity.
No evidence of epidural fluid collection.
The included retroperitoneal and pelvic contents are within normal
limits.
Findings by Level:
T12-L1: Small circumferential bulge without significant spinal canal
stenosis or neural foraminal narrowing.
L1-L2: Unremarkable
L2-L3: Unremarkable
L3-L4: Unremarkable
L4-L5: Unremarkable
L5-S1: Loss internal disc signal with small central annular fissure
and protrusion. No impingement of the transiting nerve roots or
significant spinal canal stenosis. No significant neural foraminal
narrowing.
Brief Answer:
This does not indicate cancer.
Detailed Answer:
Hello,
I have studied your case and MRI report.
Due to end plate erosion there is sclerosis in vertebral body. This does not indicate cancer.
Your MRI does not show large disc bulge or canal stenosis which means there is no major disease to worry.
L5-S1: Loss internal disc signal with small central annular fissure
and protrusion may not lead to major symptoms.
If you suspect possibility of cancer then PET scan will be more helpful.
Medication like methylcobalamine with neurotropic like pregabalin will reduce pain; you can take them consulting your treating doctor.
Take physiotherapy like IFT and TENS.
I will advise to check your vit B12 and vit D3 level.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Take care.
This does not indicate cancer.
Detailed Answer:
Hello,
I have studied your case and MRI report.
Due to end plate erosion there is sclerosis in vertebral body. This does not indicate cancer.
Your MRI does not show large disc bulge or canal stenosis which means there is no major disease to worry.
L5-S1: Loss internal disc signal with small central annular fissure
and protrusion may not lead to major symptoms.
If you suspect possibility of cancer then PET scan will be more helpful.
Medication like methylcobalamine with neurotropic like pregabalin will reduce pain; you can take them consulting your treating doctor.
Take physiotherapy like IFT and TENS.
I will advise to check your vit B12 and vit D3 level.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Take care.
Above answer was peer-reviewed by :
Dr. Shanthi.E
I'm just wondering what exactly sclerotic changes were referring to . When I google it brings like tumor of bone ! So kinda scared me at first ! Well thanks for answering my questions and explaining my reports ! my vitamin d is pretty low nd doc did advice me to take daily dose to replace them ! B12 is good ! Is it normal to have sclerotic changes !
Brief Answer:
Sclerotic changes-is normal phenomenon of degeneration.
Detailed Answer:
Hello again
Sclerotic changes can be due to excessive strain on bone which is normal phenomenon of degeneration.
Sclerosis is due to deposition of bone matrix to strengthen bone.
That’s good that B12 is normal, you continue your vit D supplement.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.
Take care.
Sclerotic changes-is normal phenomenon of degeneration.
Detailed Answer:
Hello again
Sclerotic changes can be due to excessive strain on bone which is normal phenomenon of degeneration.
Sclerosis is due to deposition of bone matrix to strengthen bone.
That’s good that B12 is normal, you continue your vit D supplement.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.
Take care.
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Answered by
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