• question-icon

    What does the following MRI report indicate?

Posted on Tue, 18 Jul 2017 in Brain and Spine
Question: Need to consult neurosurgeon
Answered by Dr. Erion Spaho 27 minutes later
Brief Answer:
Please provide the MRI images or report.

Detailed Answer:
Hello and thanks for using HealthcareMagic.

Please provide the MRI images or report in order to understand your son's condition better.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
Follow up: Dr. Erion Spaho 9 minutes later
We are waiting to upload the images
Meanwhile I uploaded the radiologist report on MRI and also copying pasting the drop box of MRI images
Pl try to open


Hope you are able to open the dropbox.com folder. You can download the zip file, unzip it and go to VIEWER folder and click on the *.exe file to run the program that allows you to view the films. This is the format we received from the diagnostics lab.

Current situation and complaints, 5-6 weeks after initial injury:
1) Mild tenderness across both sides of lower back after waking up from night sleep
2) mild difficulty due to pain/tenderness bending down from standing up early mornings
3) tiredness after walking 15min, due to precautionary posture, and right of spine pain at one point in lower back above right glute (roughly the area covered by a belt holding up pants)
4) family history of multiple family members suffered from same complaint, and except one, no one had any surgeries
Answered by Dr. Erion Spaho 9 hours later
Brief Answer:
No need for surgery right now.

Detailed Answer:
Welcome back.

I have examined the MRI images you uploaded and the Radiologist's report.

In conclusion (clinically and by imaging) in my opinion, there is no need to rush into surgery, because of the mild significant symptoms and small herniations at L5-S1 and L4-L5 levels.

I think conservative treatment will succeed to improve symptoms in your son's case.

Surgery in similar cases is reserved in cases of failure after a couple of months of the conservative treatment, or in new onset neurological signs.

Hope you found the answer helpful.

Kind regards.
Above answer was peer-reviewed by : Dr. Yogesh D
Follow up: Dr. Erion Spaho 45 hours later
Thank you for your reply
Can u pl answer some questions ?
1. What is the fate of herniated disc? Apart from fibrosis and sclerosis

2. Can a patient live a normal life with out say 2 discs ex : bone to bone ?
Will there be pain ?
can he be asyptomatic ?

3. What is the indication for spinal fusion ?

Answered by Dr. Erion Spaho 18 hours later
Brief Answer:
The herniation may shrink, but may progress also.

Detailed Answer:
Welcome back.

The herniated disc may shrink with time and conservative treatment leaving the neural structures free, so, the patient may conduct a normal asymptotic life.

The herniation may also progress and in such case may be worsening of symptoms, in such cases, surgery is considered.

Spinal fusion is indicated in multilevel degerative spine disease, instability of the spine, significant spinal cord stenosis.

Hope this helps.

Take care.
Above answer was peer-reviewed by : Dr. Raju A.T
Answered by
Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 3865 Questions


The User accepted the expert's answer

Share on

Recent questions on  Spinal cord

doctor1 MD

My 3 month old granddaughter is scheduled to have Meningocele Repair in the morning about 10 hours from now, I m concerned that her parents have...

doctor1 MD

hello, i was born with this condition kyphoscoliosis I had surgery when i was 9 years old, there was an improvement.I am now 21 years old.my left...

doctor1 MD

I have transverse myelitis my have every other month have will bad chest pain the heart doctor said my heart is good do transverse myelitis cause...

doctor1 MD

I had transsphenoidal pituitary surgery almost 4 weeks ago. The day after surgery I developed CSF leak (leaked through my nose). The put in a...

doctor1 MD

Hello. I've been having trouble keeping my eyes open and focused. I had a sinus infection which was treated but this has been happening before...

doctor1 MD

I am a 77year old female . Uti have been with me for 40 some years. The start over the back my shoulders, down both arms, into both hands and...

doctor1 MD

I have had a condition for the past 4 years that results mostly from neck movement. The symptoms are full body profuse sweating , rapid rise in...

Get personalised answers from verified doctor in minutes across 80+ specialties

193 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Erion Spaho
  • Q - What causes tingling and pins and needle sensation on the left side of...

  • Q - What causes numbness in feet and ankles?

  • Q - What causes mouth spots and pit in forehead?

  • Q - What causes tingling feeling in shoulder?

  • Q - Suggest treatment for panic attacks, non functional rectum and memory loss

  • Q - What causes numbness in the right side of foot and leg?

  • Q - What causes burning sensation and tingling in hands and feet?

  • Q - What does my CT scan suggest?

  • Q - What causes shortness of breath in a patient with fibromyalgia?

  • Q - What causes severe muscle twitches at night in shoulders and arms?