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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Back Pain, MRI Shows Diffuse Bulge Indenting On Theca. What Does This Mean?

Hi doctor. My fiancee s mom has been having severe back ache for the last month or so and they visited a doctor. At the hospital they did an ultra sound scan and the results are as shown below: MRI of Lumbo-Sacral Spine Observation: The vertebral bodies show normal alignment and signal intensity . The pedicles and appendages are normal. No evidence of lysis/listhesis is seen Conusmedullaris is normal in position size and signal intensity No evidence ofintradural/extradural/intramedullary mass lesion is seen Dehydration of lower lumbar intervertebral discs noted. Diffuse bulge of L2/L3 disc noted, indenting on the theca . Diffuse bulge with posterior central protrusion L3/L4 disc noted, indenting on the theca and traversing nerves roots. Diffuse bulge of L4/L5 disc noted indenting on the theca The ligamentumflava and facet joints are normal The pre/para vertebral soft tissues are normal Impression: Diffuse Bulge of L2/L3 disc, indenting on the theca Diffuse bulge with posterior central protrusion L3/L4 disc indenting on the theca and traversing nerve roots Diffuse bulge of L4/L5 disc, indenting on the theca Would you please help me understand what this means? Thank you.
Mon, 8 Oct 2012
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hello nikilbolt,

Thanks for posting your query

Your fiancee mother is suffering from Prolapsed intervertevral disc (PIVD).

This disc bulge causing pressure over nerve roots which causes radiation of pain in lower limb.

Regards.
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Back Pain, MRI Shows Diffuse Bulge Indenting On Theca. What Does This Mean?

Hello nikilbolt, Thanks for posting your query Your fiancee mother is suffering from Prolapsed intervertevral disc (PIVD). This disc bulge causing pressure over nerve roots which causes radiation of pain in lower limb. Regards.