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What Does This Lumbar MRI Report Indicate?

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Posted on Tue, 24 Mar 2015
Question: Hello DR Rynne,
Can you help me interpret the following lumbar MRI:
L3/4 and L4/5 Disc Herniations Deforming The Thecal Sac Contributing To Central Spinal Stenosis In Conjunction With Posterior Hypertrophic Changes (Marked At L4/5, Mild At 3/4) With Bilateral Neural Foraminal Extension At Both Levels Abutting The Existing Nerve Roots (Left Greater Than Right At L3/4) In Addition To L4/5 Grade I Spondylolisthesis And :3/4 Associated With Left Lateral Annular Tear L2/3and L5/S1 Disc Bulges With L5/S1 Retrolisthesis deforming the thecal sac with Bilateral Neural Foraninal Extensions.

Approximate 5mm Perineural Cyst

Thank You! XXXXXXX
doctor
Answered by Dr. Dr. Sudhir Kumar (32 minutes later)
Brief Answer:
These are degenerative changes.

Detailed Answer:
Hi
Thanks for your query

I'm Dr Sudhir Kumar

I have gone through your query and understand your concern.There is degenerative disc disease ( age related)in your spine . There is bulge at L3,L4 level and L4,L5 level. This along with posterior degenerative change leads to central spinal stenosis ( narrowing of central spinal canal containing spinal cord) L 4 vertebra shifted anteriorly as compared to L5 (anterolisthesis) . Similarly L5 is shifted posterity as compared to S1 (retrolisthesis)

Mainly these are age related ( degenerative) changes. Glucosamine, Diacerine, Mecobalamine and excercises are of help. You can take analgesic such as ibuprofen for pain relief.
You can discuss with your doctor about it.

Hope your query is answered. If you have any clarification then I will be happy to help you.

Wishing you a good health.
Take care.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by : Dr. Pradeep Vitta
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Answered by
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Dr. Dr. Sudhir Kumar

Orthopaedic Surgeon

Practicing since :1993

Answered : 3356 Questions

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What Does This Lumbar MRI Report Indicate?

Brief Answer: These are degenerative changes. Detailed Answer: Hi Thanks for your query I'm Dr Sudhir Kumar I have gone through your query and understand your concern.There is degenerative disc disease ( age related)in your spine . There is bulge at L3,L4 level and L4,L5 level. This along with posterior degenerative change leads to central spinal stenosis ( narrowing of central spinal canal containing spinal cord) L 4 vertebra shifted anteriorly as compared to L5 (anterolisthesis) . Similarly L5 is shifted posterity as compared to S1 (retrolisthesis) Mainly these are age related ( degenerative) changes. Glucosamine, Diacerine, Mecobalamine and excercises are of help. You can take analgesic such as ibuprofen for pain relief. You can discuss with your doctor about it. Hope your query is answered. If you have any clarification then I will be happy to help you. Wishing you a good health. Take care.