HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Does This MRI Report Indicate?

default
Posted on Fri, 7 Jul 2017
Question: Hello, I received an MRI of my spine last November. I have not been able to see a neurologist surgeon for a 2nd opinion, i have no insurance and very little money, but have had progressing numbness and tingling in my lower body (intermittantly) for 3 years now. It was mainly in my lower legs and feet at first. Last XXXXXXX I had shingles a second time in my life and a horrible rash on my legs, then my arms. This went on for 8 months. With that came nerve pain in my legs and now numbness on and off from my waist down. I have had from my MRI. 2 DIFFERENT SPINAL DIAGNOSES FROM FREE CLINIC DR'S.. Confusing! Both opposite opinions
Can you tell me what you think of this MRI? Just sending the IMPRESSION from Thoracic Spine and Lumbar Spine. C7-T1: Moderate posterior disc herniation with mild facet changes.Moderate narrowing of the canal with impingement on the anterior cord. T1-T2: Mild posterior disc bulge. Mild facet changes. Moderate thickening of the PLL. Moderate narrowing of the canal with flattening of the cord. T2-T3: Moderate disc bulge. Mild facet changes. Moderate thickening of the PLL. Moderate narrowing of the canal with flattening of the anterior cord. T5-T6: Moderate diffuse disc bulge, mild facet changes, mild narrowing of the canal with flattening of the anterior cord. No evidence of acute fracture or cord edema. No mass lesion or abnormal enhancement identified. IMPRESSION of Lumbar Spine. Congenitally narrow spinal cord. L3-L4: Moderate diffuse disc bulge. Moderate facet and ligamentum changes. Severe narrowing of the canal. Moderate bilateral foraminal narrowing. L4-L5: severe diffuse disc bulge, facet and ligamentum changes. Severe tight canal Stenosis with abnormal enhancement of the central canal and nerve roots. Findings can relate to ongoing subacute nerve impingement. Correlate for Cauda Equina symptomology. Overall appearance not significantly changed from 2014. No evidence of acute fracture.... Whew! Thanks for your opinion!
doctor
Answered by Dr. Neeraj Kumar (2 hours later)
Brief Answer:
Take neurosurgeon consultation and get operated for relief

Detailed Answer:
Hello,
I have gone through your question and mri report.
The lumbar spine imaging is definitely suggestive of nerve root compression and canal stenosis.
The symptoms of tingling and numbness in lower limbs aggravating on walking and exertion.
You need surgical intervention and neurosurgeon evaluation.
Hope you found the answer helpful.
Do get back to me for further information.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Does This MRI Report Indicate?

Brief Answer: Take neurosurgeon consultation and get operated for relief Detailed Answer: Hello, I have gone through your question and mri report. The lumbar spine imaging is definitely suggestive of nerve root compression and canal stenosis. The symptoms of tingling and numbness in lower limbs aggravating on walking and exertion. You need surgical intervention and neurosurgeon evaluation. Hope you found the answer helpful. Do get back to me for further information. Regards Dr N Kumar Neurologist