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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Understand MRI Results ?

Hi there, I had an MRI done yesterday due to lower left back pain protruding into my left hip and I m trying to understand the results: Within the sacral portion of the canal there are multiple Tarlov cysts measuring up to 2.4 x 1 cm. There is associated pressure erosion on the sacrum. L4-L5 disc demonstrates mild diminished hydration and a 2 mm broad-based bulge mildly effacing the thecal sac. Mild facet joint hypertrophy is noted at L4-L5 and L5-S1 slightly narrowing the neural foramina. Impression: There are multiple Tarlov cysts in the sacral portion of the central canal resulting in pressure erosion on the sacrum. 2 mm broad-based L4-L5 disc bulge. Mild facet hypertrophy L4-L5 and L5-S1. What does all this mean?
Tue, 1 Jul 2014
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Radiologist,  's  Response
Hello
Thanks for writing to us

According to report,you are suffering from mild degenerative disc disease of lumbar spine.
Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis.

1.Multiple tarlov cysts are age related asymptomatic cysts found along the exiting nerve roots.

2.At L4-L5 level,there is mild loss of water from the intervertebral disc and there is mild disc bulge effacing the thecal sac.

2.At L4-L5 and L5-S1 level,there is mild facet joint hypertrophy casing slightly narrowing of the neural foramen.

Majority of the cases of degenerative spine disease are benefited by physiotherapy,so physiotherapy should be tried first.
Surgery should be the last option.
There are also medicines like capsule pregabalin available for pain relief.

Treatment can be planned after consultation with neurosurgeon.

Get well soon.
Take Care
Dr.Indu Bhushan
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How To Understand MRI Results ?

Hello Thanks for writing to us According to report,you are suffering from mild degenerative disc disease of lumbar spine. Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis. 1.Multiple tarlov cysts are age related asymptomatic cysts found along the exiting nerve roots. 2.At L4-L5 level,there is mild loss of water from the intervertebral disc and there is mild disc bulge effacing the thecal sac. 2.At L4-L5 and L5-S1 level,there is mild facet joint hypertrophy casing slightly narrowing of the neural foramen. Majority of the cases of degenerative spine disease are benefited by physiotherapy,so physiotherapy should be tried first. Surgery should be the last option. There are also medicines like capsule pregabalin available for pain relief. Treatment can be planned after consultation with neurosurgeon. Get well soon. Take Care Dr.Indu Bhushan