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What Does My MRI Report Of Lumbar Spine Indicate?

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Posted on Fri, 16 Jan 2015
Question: L5-S1: Loss internal disc signal with small central annular fissure
and protrusion.
Narrative
LOCATION: SHRB


MR LUMBAR SPINE WO and W CONTRAST (MR-37) MR-37

Impression
IMPRESSION:
1. Mild degenerative changes within the lower thoracic spine and at
L5-S1 without significant spinal canal stenosis or neural foraminal
narrowing.
2. No MRI findings to suggest infection at this time.

INDICATION: Back Pain

TECHNIQUE: Parasagittal and axial T2-weighted images were acquired.
Parasagittal and axial T1-weighted images were acquired pre and post
intravenous administration of paramagnetic contrast material.

CONTRAST: 15 of 15 ml Magnevist

COMPARISON: CT abdomen pelvis from 12/17/2014

FINDINGS:
There are five non-rib bearing lumbar vertebra.

The alignment of lumbar spine is within normal limits.

The conus medullaris terminates at L1. No abnormal signal within the
lower thoracic cord or conus medullaris. No morphological
abnormalities of the lumbosacral nerve roots. No abnormal
enhancement within the lumbosacral thecal sac.

There are multiple Schmorl's nodes throughout the lower thoracic and
upper lumbar spine. Sclerotic changes are seen at the anterior
inferior endplate of L1, which appear to be associated with a small
endplate defect.

No paraspinal phlegmon or fluid collections. No abnormalities of the
paraspinal muscles.

No abnormal T2 signal within the disc spaces. No masslike areas of
abnormal marrow signal intensity.

No evidence of epidural fluid collection.

The included retroperitoneal and pelvic contents are within normal
limits.

Findings by Level:

T12-L1: Small circumferential bulge without significant spinal canal
stenosis or neural foraminal narrowing.

L1-L2: Unremarkable

L2-L3: Unremarkable

L3-L4: Unremarkable

L4-L5: Unremarkable

L5-S1: Loss internal disc signal with small central annular fissure
and protrusion. No impingement of the transiting nerve roots or
significant spinal canal stenosis. No significant neural foraminal
narrowing.

Could any one explain we what all this means ! Anything serious going on in my spine ! Symptoms of back pain on left side hip coming down to my buttock area to legs ! What means sclerotic changes nd loss of internal signal at L5-l1! I

Please help me with this mri reading

Anyone could explain all this
doctor
Answered by Dr. Vinay Bhardwaj (17 hours later)
Brief Answer:
The report is pretty normal. Just some mild age related degeneration

Detailed Answer:
Hi there, Thanks for coming to HelathCareMagic.

Thanks for providing the full MRI report. It actually doesn't show any real disease process. Just some age related changes. Everyone's spine degenerates over time. The discs that lie in between the vertebrae (the bones of the spinal column) especially are going to flatten out and dry up with age, they don't get that much blood flow throughout life, so they tend to get damaged.

If you are over weight, losing weight will help slow the process down, good physical therapy will help strengthen the muscles of the back and take some of the stress off of the joints in the lower back.

I hope this all makes sense. Feel free to clarify anything else you need.

Vinay
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Vinay Bhardwaj

Neurologist, Surgical

Practicing since :2006

Answered : 544 Questions

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What Does My MRI Report Of Lumbar Spine Indicate?

Brief Answer: The report is pretty normal. Just some mild age related degeneration Detailed Answer: Hi there, Thanks for coming to HelathCareMagic. Thanks for providing the full MRI report. It actually doesn't show any real disease process. Just some age related changes. Everyone's spine degenerates over time. The discs that lie in between the vertebrae (the bones of the spinal column) especially are going to flatten out and dry up with age, they don't get that much blood flow throughout life, so they tend to get damaged. If you are over weight, losing weight will help slow the process down, good physical therapy will help strengthen the muscles of the back and take some of the stress off of the joints in the lower back. I hope this all makes sense. Feel free to clarify anything else you need. Vinay