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MRI of the lumbosacral spine said loss of normal lumber lordosis, disc bulge, dehydrated, thecal indentation. Meaning?

MRI of the lumbosacral spine:
scanning protocol:
multiplanar images were obtained according to depratmental protocol.
FINDINGS:
loss of normal lumber lordosis is seen
disc dehydration with preserved disc hiight seen al L4-L5. at this level there is a diffuse central disc bulge causing anterior thecal indentation with foraminal encroachment on either side
At the L3-L4 level there is diffuse broad base disc bulge causing thecal indentation with bilateral foraminal
narrowing with neural foraminal narrowing on either side which is slightly more marked on the left side.
mild central disc bulge seen at L5-SI causin slight thecal indetation with no radicular compression seen on either side.
The caudae equina and flium terminale are normal.the paravertebral soft tissues are normal.no face joint abnormality is seen. the vertebral bodies show no abnormal signal to indicate bone marrow replacement.
CONCULSION:
loss of normal lumber lordosis is seen. which may be secondry to a muscle spasm.
disc dehydration with preserved disc height seen at L4-L5. at this level there is a diffuse central disc bulge causing anterior thecal indentation with foraminal encroachment on either side.
L3-L4: diffuse broad base disc bulge causing thecal indentation with bilateral foraminal narrowing with neural foraminal narrowing on either side which is slightly more marked on the left side.
L5-SI: mild central disc bulge causing slight thecal indentation with no radicular compression seen on either side.
Asked On : Tue, 23 Apr 2013
Answers:  1 Views:  75
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Diseases and Conditions
Radiologist 's  Response
Hi,

The disc bulges at L3-L4, L4-L5 and L4-L5 levels represents a backward movement of your disc (commonly referred to as slip disc). This disc may compress the nerves within your spinal canal and cause pain (usually shooting pain radiating along your thigh and leg). However, in your case the herniation is mild and does not appear to be a cause of much worry. However, if you do have shooting pain / tingling or numbness of your feet or toes then you may need to consult an Orthopaedic Surgeon to treat the disc herniation.

The loss of lumbar lordosis is usually due to spasm of your back muscles and is easily relieved with antispasmodics and anti-inflammatory medication. Sometimes, the position in which you lie down for scan can also cause loss of lumbar lordosis.

Dehydration (dessication) of disc is just a loss of water content in your disc. It is usually age-related and mostly of no significance as it does not cause pain by itself.

Overall, your scan isn't something to be too worried about if you do not have classic symptoms of nerve root compression (eg: tingling or shooting pain along the thigh, weakness of one leg, etc).

Sincerely,
Vamshi
Answered: Tue, 23 Apr 2013
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