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What Does This MRI Report Of Spine Indicate?

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Posted on Wed, 14 Jan 2015
Question: Could any doctor explain me what's going on with report and what does this means
L5-S1: Loss internal disc signal with small central annular fissure
and protrusion.
doctor
Answered by Dr. Dr.Albana Sejdini (1 hour later)
Brief Answer:
MRI reports small lumbar disc,non-surgical treatment advised...

Detailed Answer:
Hi,

I have gone through the MRI report you provided and I can say as following:
- there is a bulging disc at T12-L1 level= there is a swollen intervertebral disc, small in size. This size won't cause pressure on the nerve roots.
So, it won't cause any problem. However, it should be under observation.

- Protrusion noted at L5-S1 is describing a lumbar hernia small in size. The fissure noted is referring to the tearing of herniation.

Depending on the symptoms you have, it will be decided on treatment. In cases of small hernia (as in your case), non-surgical treatment is advised. However, if your symptoms would be aggravated, discectomy might be advised.

Hope it was of help!
Dr.Albana
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.Albana Sejdini (5 minutes later)
I'm having bit pain on left side of my hip feels like coming down to my legs ! Ibuprofen help temporarily takes the pain away ! What's does loss of internal disc signal part mean ( herniated) ! That part of the report was not included ( uploaded ) so that's why I was asking if anything serious going on there
doctor
Answered by Dr. Dr.Albana Sejdini (26 minutes later)
Brief Answer:
Disc degeneration associated with bulging of spinal sac...

Detailed Answer:
Hi back,

Thank you for following up.

There is nothing serious going up there. It is true that medical terms are sometimes confounding, but that does not mean that there is something wrong.

In simply words, there is a disc between the vertebral bones (called intervertebral disc). In your case, this disc is slightly dislocated (not at the normal site) and slightly swollen (protrusion).
With regards to "loss of internal disc signal", it is a sign of disc degeneration. In other words, the disc tissue is dehydrated, therefore, no signal is obtained from MRI. Disc degeneration is part of aging process.
This disc degeneration is accompanied by bulging of spinal sac, which carries the nerves to the legs and pelvis. This also explains your symptoms: back pain coming down to your legs.

I advise to consult with neurologist to discuss about specific treatment in your case.

Hope it was of help! If no more queries, do not forget to close this discussion!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.Albana Sejdini (10 minutes later)
Aren't neurologist for brain issues ? I'm going to see neurospine institute doctor
My appt is not till January end ! Anything u could recommend me to take or do before appt ! Like physical therapy or so !
doctor
Answered by Dr. Dr.Albana Sejdini (12 minutes later)
Brief Answer:
They are the same....

Detailed Answer:
Hi back,

Thank you for following up.

Neurologist are not only for brain issues. They are responsible for nerves pathologies including brain and spinal cord.

Neurospine doctors are also neurologists. They do also carry out surgeries, so they are called neurologist - surgical.

I am happy to know that neurospine doctors will take care of you.

All the best!
Dr.Albana
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr.Albana Sejdini

General & Family Physician

Practicing since :2006

Answered : 7300 Questions

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What Does This MRI Report Of Spine Indicate?

Brief Answer: MRI reports small lumbar disc,non-surgical treatment advised... Detailed Answer: Hi, I have gone through the MRI report you provided and I can say as following: - there is a bulging disc at T12-L1 level= there is a swollen intervertebral disc, small in size. This size won't cause pressure on the nerve roots. So, it won't cause any problem. However, it should be under observation. - Protrusion noted at L5-S1 is describing a lumbar hernia small in size. The fissure noted is referring to the tearing of herniation. Depending on the symptoms you have, it will be decided on treatment. In cases of small hernia (as in your case), non-surgical treatment is advised. However, if your symptoms would be aggravated, discectomy might be advised. Hope it was of help! Dr.Albana