Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
177 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What does my MRI scan report indicate?

Answered by
Dr.
Dr. Bruno Mascarenhas

Neurologist, Surgical

Practicing since :2000

Answered : 803 Questions

default
Posted on Tue, 30 Aug 2016 in Brain and Spine
Question: I had a MRI done on my hip. Could you please explain these results to me. I am walking with a cane now with pain across my lower back, hip and all the way down my leg to my toes.
PT. NUMBER: 0000
PT. NAME: CARLBERG XXXXXXX K PT. LOCATION: SUNNYBROOK MRI
BIRTH DATE: 01/10/1965 ORDER #: 16XOMR688
AGE/SEX: 51Y F ACCT. NUMBER: 0000
ORD. PHYSICIAN: XXXXXXX XXXXXXX W. ADM/ATT: XXXXXXX XXXXXXX W.
COPY TO:
DICTATED BY: ZAWACKI, XXXXXXX C, DO
EXAM DATE: 08/10/2016
---------------------------------------------------------------
EXAM: MR LOWER EXT JOINT WO CON RT

CLINICIAN'S HISTORY: right hip pain

HISTORY REPORTED TO TECHNOLOGIST: right hip pain, patient states she
fell 2-3 months ago at work, back pain

COMPARISON: None

Technique: Multiplanar multisequence MRI of the right hip was obtained
without the use of contrast.

Findings:

No evidence of fracture, dislocation or avascular necrosis. Mild
nonspecific irregularity of the superior labrum. Evaluation of the
labrum is somewhat limited without intra-articular contrast, no
convincing evidence of acute labral tear as visualized. No advanced
hip arthrosis or focal chondral defect.

Iliopsoas tendons and hamstring origins appear intact. Right
trochanteric bursitis is demonstrated. There is suggestion of mild
tendinosis of the distal gluteus minimus/medius tendons. Minimal edema
adjacent to the left hip greater trochanter.

Imaged intrapelvic structures demonstrate no acute abnormality as
visualized. Prominent perirectal fat. Partially visualized
postoperative changes of the lower lumbar spine.

Impression:

1. Right greater trochanteric bursitis. Mild tendinosis of the distal
right gluteus minimus/medius tendons.

2. No convincing evidence of additional internal derangement.



Electronically signed by: XXXXXXX C Zawacki - 8/10/2016 3:34 PM
Page 2 of 2
____________________________________________________________
RADIOLOGY REPORT: XOMR LOWER EXTREMITY JOIN 08/10/2016
Name: CARLBERG XXXXXXX K Pt. Number:0000
Final


Component Results

There is no component information for this result.


General Information

Collected:
08/10/2016 2:57 PM
Resulted:
08/10/2016 3:36 PM
Ordered By:
XXXXXXX W XXXXXXX MD
Result Status:
Final result

This test result has


_____

PT. NUMBER: 0000
PT. NAME: CARLBERG XXXXXXX K PT. LOCATION: SUNNYBROOK MRI
BIRTH DATE: 01/10/1965 ORDER #: 16XOMR688
AGE/SEX: 51Y F ACCT. NUMBER: 0000
ORD. PHYSICIAN: XXXXXXX XXXXXXX W. ADM/ATT: XXXXXXX XXXXXXX W.
COPY TO:
DICTATED BY: ZAWACKI, XXXXXXX C, DO
EXAM DATE: 08/10/2016
---------------------------------------------------------------
EXAM: MR LOWER EXT JOINT WO CON RT

CLINICIAN'S HISTORY: right hip pain

HISTORY REPORTED TO TECHNOLOGIST: right hip pain, patient states she
fell 2-3 months ago at work, back pain

COMPARISON: None

Technique: Multiplanar multisequence MRI of the right hip was obtained
without the use of contrast.

Findings:

No evidence of fracture, dislocation or avascular necrosis. Mild
nonspecific irregularity of the superior labrum. Evaluation of the
labrum is somewhat limited without intra-articular contrast, no
convincing evidence of acute labral tear as visualized. No advanced
hip arthrosis or focal chondral defect.

Iliopsoas tendons and hamstring origins appear intact. Right
trochanteric bursitis is demonstrated. There is suggestion of mild
tendinosis of the distal gluteus minimus/medius tendons. Minimal edema
adjacent to the left hip greater trochanter.

Imaged intrapelvic structures demonstrate no acute abnormality as
visualized. Prominent perirectal fat. Partially visualized
postoperative changes of the lower lumbar spine.

Impression:

1. Right greater trochanteric bursitis. Mild tendinosis of the distal
right gluteus minimus/medius tendons.

2. No convincing evidence of additional internal derangement.



Electronically signed by: XXXXXXX C Zawacki - 8/10/2016 3:34 PM
Page 2 of 2
____________________________________________________________
RADIOLOGY REPORT: XOMR LOWER EXTREMITY JOIN 08/10/2016
Name: CARLBERG XXXXXXX K Pt. Number:0000
Final


Component Results

There is no component information for this result.


General Information

Collected:
08/10/2016 2:57 PM
Resulted:
08/10/2016 3:36 PM
Ordered By: XXXXXXX W XXXXXXX MD
Result Status:
Final result

This test result has been released by an automatic process.



** Final **
UNITY POINT SIOUX CITY
ST. LUKES REGIONAL MEDICAL CTR., T-712-279-3285, F-712-279-7957
ST. LUKES IMAGING & BREAST SERVICES, T-712-277-2030, F-712-277-8728
SIOUX CITY, IOWA 51104
_________________________________________________________________

PT. NUMBER: 0000
PT. NAME: CARLBERG XXXXXXX K PT. LOCATION: SCS MRI
BIRTH DATE: 01/10/1965 ORDER #: 16XMR1408
AGE/SEX: 51Y F ACCT. NUMBER: 0000
ORD. PHYSICIAN: XXXXXXX XXXXXXX W. ADM/ATT: XXXXXXX XXXXXXX W.
COPY TO:
DICTATED BY: XXXXXXX XXXXXXX A, MD
EXAM DATE: 06/16/2016
---------------------------------------------------------------
EXAM: MR SPINE LUMBAR W-WO CONT

CLINICIAN'S HISTORY: low back pain with radiation to legs

HISTORY REPORTED TO TECHNOLOGIST: low back pain with radiation to
legs, patient states she fell on May 21st of 2016, patient states sh

COMPARISON: MRI of the lumbar spine 7/7/2015 and plain radiographs of
the lumbar spine 11/20/2013 and CT scan of the lumbar spine 7/1/2014.

TECHNIQUE: Multiplanar multisequence imaging of the lumbar spine was
performed without and with the use of 90.5 mL of intravenous
gadolinium contrast.

FINDINGS: The terminal portion of the thoracic cord and conus
medullaris appears normal. The conus terminates at the level of L2.

The signal intensity of the vertebral bodies and sacrum is normal. The
visualized aspects of the kidneys and abdominal aorta and psoas
muscles appear within normal limits. There are no obvious
retroperitoneal masses. The paraspinal musculature is normal. The
sacroiliac joints appear within normal limits.

There is again seen transpedicular posterior fusion of L4 and L5.

At L1-L2, the disc, foramina and facets are normal.

At L2 -L3 the disc, foramina and facets are normal.

At L3-L4 there is some desiccation of the disc and mild broad-based
bulge of the annulus. There is no herniation. Orthopedic hardware
appears well-positioned. There is a laminectomy defect seen posterior
to L4 and L5.

At L4-L5, the the disc is normal. Thecal sac appears normal. The
postcontrast images show slight posterior epidural scarring but no
obvious residual or recurrent disc herniation. There are is a
interbody cage screw is seen at L4-L5, well-positioned.

At L5-S1 the disc is without bulge and appears unremarkable.

There are no compression fractures in this patient with history of
recent fall.

IMPRESSION:

1. No acute findings in the lumbar spine or sacrum in this patient
with history of recent fall.

2. Anatomical alignment to L4-L5 posterior transpedicular fusion. The
cage screw and transpedicular hardware appears well-positioned.

3. No obvious lumbar spinal stenosis or neural foraminal impingement.



Electronically signed by: XXXXXXX A XXXXXXX - 6/16/2016 9:12 AM
Page 2 of 2
____________________________________________________________
RADIOLOGY REPORT: XMR SPINE LUMBAR W/WO CON 06/16/2016
Name: CARLBERG XXXXXXX K Pt. Number:0000
Final


Component Results

There is no component information for this result.


General Information

Collected:
06/16/2016 7:15 AM
Resulted:
06/16/2016 9:14 AM
Ordered By: XXXXXXX W XXXXXXX MD

Narrative


** Final **
UNITY POINT SIOUX CITY
ST. LUKES REGIONAL MEDICAL CTR., T-712-279-3285, F-712-279-7957
ST. LUKES IMAGING & BREAST SERVICES, T-712-277-2030, F-712-277-8728
SIOUX CITY, IOWA 51104
_________________________________________________________________

PT. NUMBER: 0000
PT. NAME: CARLBERG XXXXXXX K PT. LOCATION: SCS MRI
BIRTH DATE: 01/10/1965 ORDER #: 16XMR870
AGE/SEX: 51Y F ACCT. NUMBER: 0000
ORD. PHYSICIAN: XXXXXXX XXXXXXX W. ADM/ATT: XXXXXXX XXXXXXX W.
COPY TO:
DICTATED BY: XXXXXXX XXXXXXX M, MD
EXAM DATE: 04/12/2016
---------------------------------------------------------------
EXAM: MR SPINE CERVICAL WO CONT

CLINICIAN'S HISTORY: CHRONIC NECK PAIN

HISTORY REPORTED TO TECHNOLOGIST: CHRONIC NECK PAIN, fell in February,
ordering dr. XXXXXXX XXXXXXX W. , no previous studies

COMPARISON: None

TECHNIQUE: MR images of the cervical spine were obtained at 1.5 Tesla
in multiple planes without contrast.

Findings: On the sagittal images, the vertebral bodies align normally.
Disc bulges are seen at several levels. Other than a few small
hemangiomas, the bone marrow signal is normal. The cord signal is
normal. The visualized portions of the brain are unremarkable.

On the axial images, the C2-3 level is normal.

At C3-4, a right lateral disc bulge causes moderate narrowing of the
right neural foramen. The left neural foramen and spinal canal are not
narrowed.

At C4-5, a right lateral disc bulge causes moderate to severe
narrowing of the right neural foramen. The left neural foramen is
mildly to moderately narrowed. The spinal canal is not narrowed.

At C5-6, bilateral disc osteophyte complexes cause moderate to severe
narrowing of both neural foramina. The spinal canal is mildly
narrowed. There is some mild effacement of the cord.

At C6-7, a left lateral disc bulge causes moderate to severe narrowing
of the left neural foramen. The right neural foramen is mildly to
moderately narrowed. The spinal canal is mildly to moderately
narrowed. There is some effacement of the cord.

The C7-T1 and T1-2 levels are unremarkable. No abnormal fluid
collections are seen. The visualized portions of the paraspinous
muscles are unremarkable.

Impression:

1. Multifocal changes of degenerative disc disease above. The most
abnormal level overall is probably C5-6.



Electronically signed by: XXXXXXX XXXXXXX M, M.D.
Dictated: 4/12/2016 3:30:47 PM
Signed: 4/12/2016 3:32:54 PM
Page 2 of 2
____________________________________________________________
RADIOLOGY REPORT: XMR SPINE CERVICAL WO CON 04/12/2016
Name: CARLBERG XXXXXXX K Pt. Number:0000
Final


Component Results

There is no component information for this result.


General Information

Collected:
04/12/2016 2:51 PM
Resulted:
04/12/2016 3:32 PM
Ordered By: XXXXXXX W XXXXXXX MD
Result Status:
Final result

This test result has been released by an automatic
UNITY POINT SIOUX CITY
ST. LUKES REGIONAL MEDICAL CTR., T-712-279-3285, F-712-279-7957
ST. LUKES IMAGING & BREAST SERVICES, T-712-277-2030, F-712-277-8728
SIOUX CITY, IOWA 51104
_________________________________________________________________

PT. NUMBER: 0000
PT. NAME: CARLBERG XXXXXXX K PT. LOCATION: EX15-01 (EMERGE
BIRTH DATE: 01/10/1965 ORDER #: 16XGR12837
AGE/SEX: 51Y F ACCT. NUMBER: 0000
ORD. PHYSICIAN: COLWELL, XXXXXXX DO ADM/ATT: COLWELL, XXXXXXX DO
COPY TO: SCHENK, XXXXXXX P, MD
DICTATED BY: XXXXXXX XXXXXXX L, MD
EXAM DATE: 06/08/2016
---------------------------------------------------------------
EXAM: DX PELVIS 1 OR 2 VIEWS

CLINICIAN'S HISTORY: fall

HISTORY REPORTED TO TECHNOLOGIST: low back pain, fell on May 21, 2016
and landed on back

COMPARISON: None.

Technique: AP pelvis radiograph was performed.

Findings: No acute or subacute fracture is visualized. Hip alignment
is anatomic. Hip and sacroiliac joint spaces are maintained. Lower
lumbar spinal fusion hardware is noted without evidence of
complication. Radiopaque likely surgical clip is noted within the left
pelvis and overlying the right ilium.

Impression:

1. Unremarkable pelvic examination.


doctor
Answered by Dr. Bruno Mascarenhas 10 hours later
Brief Answer:
I have explained the results

Detailed Answer:
Hi,

Welcome to HealthCareMagic.com I am Dr.J XXXXXXX Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.

Let us See the results of your latest MRI

//No evidence of fracture, dislocation or avascular necrosis.//
This is good news. This means that there is no problem in your bones. Your Bones are fine

//Mild nonspecific irregularity of the superior labrum. Evaluation of the
labrum is somewhat limited without intra-articular contrast, no
convincing evidence of acute labral tear as visualized. No advanced
hip arthrosis or focal chondral defect.//
This again is good news. This says that your joint is Fine and you need not worry

//Iliopsoas tendons and hamstring origins appear intact. //
Good News Once Again
Your Tendons in the above muscles are Fine.
No Need to Worry


//Right trochanteric bursitis is demonstrated. //
This is the cause of your pain

Let me explain to you what this is
Bursas are fluid filled small pouches in your body. They are usually situated between a bony prominence and the skin. They help in avoiding your bone directly exerting pressure on your skin.

There are lots of such bursae in our body. One Such Bursae is between greater trochanter (this is a part of your thigh bone) and the Skin. In your Skin, this bursa on the right side is inflamed and it is this inflamed bursa which is causing pain.

So, when you walk, there is friction between this bursa, skin and bone and this leads to severe pain


//There is suggestion of mild tendinosis of the distal gluteus minimus/medius tendons. Minimal edema adjacent to the left hip greater trochanter.//
These are associated inflammations with the previous points

//Imaged intrapelvic structures demonstrate no acute abnormality as
visualized. Prominent perirectal fat. Partially visualized
postoperative changes of the lower lumbar spine.//
Again Good News

So
In Short

Your Bones are OK
Your Joints are OK
Most of your Muscles and Ligaments and Tendons are OK

Few Tendons are inflamed
One Bursa is inflamed

The treatment would be
1. Antibiotics
2. Analgesics
3. Strict Bed rest for few days

Please don't worry.
This is not a serious condition
This can be treated very very easily

Your Orthopaedician will be able to prescribe for you

Hope you found the answer helpful.

If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.

Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.

-oOo-

PS 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback.

PS 2 : In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Medical Topics ,   ,   ,  

Recent questions on  Iliopsoas

doctor1 MD

When i walk down the stairs my right bottom stomach side hurts, even when I stand up on on leg( right side) please can you help

doctor1 MD

I am a 59 yo woman having severe pain in my anterior upper thigh. It comes on immediately after I sit down or arise from being seated for several...

doctor1 MD

Since 7-10-16, I ve been having problems with pain/soreness from the right side of my pelvis and groin, but not in the right leg. Mostly mild,...

doctor1 MD

hi. I was doing the splits and all of a sudden I heard a popping sound. It seems to be near the iliopsoas muscle and pubic bone. I'm not sure what...

doctor1 MD

I get groin discomfort on and off on both sides, have had times when it was severe during missionary sex position....sometimes it seems lymph...