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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My Test Report Mean? Have Suspected Renal Cysts, Degenerative Spondylosis, Foraminal Encroachment

There are multi level marginal osteophytes the marrow intensity signal is preserved. Small Schmorl s node in assoication with the inferior endplate of L1. There is disc desiccation at L1-2 and from L3-4 through L5-S1. Disc height loss is noted from L3-4 through L5-S1 most prominently at L-S1. The conus of the cord terminates at approximately the inferior aspect of L-1 and has an unremarkable appearance. YYYY@YYYY At L1-L2 there a broad disc bulge/protrusion which is slightly asymmetric toward the left lateral aspect. It flatens the ventral aspect of the thecal sac but there is no evidence of significant central canal compromise. AP diameter of the thecal sac is approximately 12mm.There is mild bilateral facet arthropathy . There is mild encroachment upon the right neural foramen and moderate encroachment upon the left neural foramen. There is mild bilateral facet athropahy. There is fluid in the facet joints bilaterally. At L2-L3 there is no evidence of disc bulge or herniation. There is no evidence of central canal or foraminal stenosis . The facet show no significant arthropathy. At L3-L4 there is a broad central disc bulge with minimal impression upon the ventral aspect of the thecal sac. There is moderate bilateral facet arthropathy with ligamentum flavum prominence impressing upon the posterior lateral aspects of the thecal sac but there is no significant central canal compromise noted.AP diameter of the thecal sac is approximately 12mm. There is mild bilateral neural foraminal encroachment. At L4-L5 there is a broad central disc bulge and bilateral severe facet athropathy with ligamentum flavum prominance. There is mild left bilateral recess stenosis. AP diameter of the thecal sac is approx. 12mm in sequences significant central canal cpmpromise. There does appear mild left and moderate right neural forminal encroachment. At L5-S1 there is broad symmetrical disk bulge and mild bilateral facet arthropathy. There is no evidence of central stenosis. There is moderate right and severe left neural foraminal encroachment. Partially imaged bilateral renal cysts are suspected. Next no evidence of adenopathy. There is no evidence of muscle asymmetry. Impression: Dengenerative spondylosis as discribed. There is no evidence of significant central canal stenosis. There is multifactorial, multilevel forminal encroachment. See above. What does this mean?
Fri, 26 Oct 2012
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Radiologist 's  Response
In nutshell it means there are degenerative changes in lumbosacral spine. These changes are more marked at L5-S1 level particularly on left side. However there is no comment upon exiting and traversing nerve roots in this report.
Imaging findings should always be correlated with symptoms and nerve conduction studies. But I have not seen the images and it will be more helpful if you could upload the images.
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What Does My Test Report Mean? Have Suspected Renal Cysts, Degenerative Spondylosis, Foraminal Encroachment

In nutshell it means there are degenerative changes in lumbosacral spine. These changes are more marked at L5-S1 level particularly on left side. However there is no comment upon exiting and traversing nerve roots in this report. Imaging findings should always be correlated with symptoms and nerve conduction studies. But I have not seen the images and it will be more helpful if you could upload the images.