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What Does This MRI Report Indicate?

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Posted on Mon, 8 Aug 2016
Question: 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
Can you tell me what this means
doctor
Answered by Dr. Bruno Mascarenhas (3 hours later)
Brief Answer:
Your Previous Surgery was Success. The Implants are in Place

Detailed Answer:
Hi,

Welcome to HealthCareMagic.com I am Dr.J XXXXXXX Anto Bruno Mascarenhas, and I am here to help you. I have read your question with care and understand that you want to know what the MRI and X Ray Report Means

It means that
1. You have undergo a Surgery on your Lower Spine
2. They have removed a bit of Bone (Laminectomy) and have also kept some implants
3. The previous Surgery has been successful from alignment point of view
4. The implants are still in place and have not moved
5. There is no compression to the Spinal Cord now (as on 16 Jun 2016 when the MRI has been done)
6. You do not require a surgery now for your lower back and the low back pain can be managed as of now by Non Surgical Methods like Tablets

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. Yogesh D
doctor
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Follow up: Dr. Bruno Mascarenhas (13 hours later)
Is it possible I have some kind of nerve or muscle damage due to the fact that I fell on my back. I'm still in therapy since before my MRI and am still in great pain with numbness and tingling in my right leg, burning in my sciatic nerve and right hip and a lump on my left side that is very tender and burns constantly.
doctor
Answered by Dr. Bruno Mascarenhas (2 hours later)
Brief Answer:
Muscle Damage and Nerve Damage are possible

Detailed Answer:
Dear Madam,
Welcome Back

Q1
Is it possible I have some kind of nerve or muscle damage due to the fact that I fell on my back.
A1
Muscle Damage and Nerve Damage are possible

The MRI Shows only Spine.
If the Nerves have been damaged in Pelvis, or if Muscles have been damaged, it will not be seen in this MRI

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. Prasad
doctor
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Follow up: Dr. Bruno Mascarenhas (1 hour later)
how would I find out if I have muscle or nerve damage if this pain persists
doctor
Answered by Dr. Bruno Mascarenhas (3 hours later)
Brief Answer:
Muscle Damage can be found out by EMG , Nerve Damage by NSC

Detailed Answer:
Dear Madam
Welcome Back

Q1
how would I find out if I have muscle or nerve damage if this pain persists
A1
Nerve Damage can be found out by a test called NCS (Nerve Conduction Study)
Muscle Damage can be found out by EMG (Electromyography)

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. Raju A.T
doctor
Answered by
Dr.
Dr. Bruno Mascarenhas

Neurologist, Surgical

Practicing since :2000

Answered : 813 Questions

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What Does This MRI Report Indicate?

Brief Answer: Your Previous Surgery was Success. The Implants are in Place Detailed Answer: Hi, Welcome to HealthCareMagic.com I am Dr.J XXXXXXX Anto Bruno Mascarenhas, and I am here to help you. I have read your question with care and understand that you want to know what the MRI and X Ray Report Means It means that 1. You have undergo a Surgery on your Lower Spine 2. They have removed a bit of Bone (Laminectomy) and have also kept some implants 3. The previous Surgery has been successful from alignment point of view 4. The implants are still in place and have not moved 5. There is no compression to the Spinal Cord now (as on 16 Jun 2016 when the MRI has been done) 6. You do not require a surgery now for your lower back and the low back pain can be managed as of now by Non Surgical Methods like Tablets 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