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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What are the findings of the MRI report?

hi i got the results of my mri and i need helo understanding it... this is exactly what it says...
For counting purposes,the last full disc space is designated L5-s1.

There is a straightening of normal lordosis

vertebral body height is preserved with mild disc height loss at L5-s' and disc desiccation at the l4-5 and l5-s' levels.Posterior annular fissures are seen at both levels.

Discogenic endplate signal changes are seen at the superior endplate of l4 and l5 otherwise bone marrow intensity is normal w/o evidence of marrow replacing lesion or fracture noted.

The conus appears to terminate at l1-2 level on sagittual images and is normal in signal intensity.Scattered posterior synovial cysts are present at L3-4 to L5-s1

l2-3 unremarkable
l3-4 unremarkable
l4-5 Mild circumferentially Bulging disc and Bilateral facet hypertrophy and arthropathy are seen without significiant spinal canal stenosis.there is mild neural foraminal narrowing.

L5-s1 a small 3mm left subarticular/foraminal disc protrusion is superimposed on a circumferentially bulging disc effaces the left subarticular recess possibly impinging upon the descending left s1 nerve roots.There is no significant neuroforaminal narrowing.

Impression:
1.small 3mm left subarticular/foraminal disc protrusion effaces the left subarticular recess and possibly impinges upon the descending left s1 nerve roots.

2 mild circumferentially bulging disc and disc desiccation with posterior annular fissure at l4-5 which can contribute to pain.

3 small posterior synovial cysts in the facet osteoarthropathy present at l3-4 through l5-s1 may also contribute to pain...

what does it mean and what can they do cure it and i am obese so will losing excessive weight help the pain
Mon, 16 Dec 2013
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Radiologist 's  Response
Hello
Thanks for writing to HCM

According to reports your have degenerative disc prolapse of spine with loss of normal curve in spine

1.You have mild loss of disc height at L5-S1 level and disc dehydration at the L4-5 and L5-S1 levels. Posterior annular fissures are seen at both levels.

2.There is small 3mm left subarticular/foraminal disc protrusion which is effacing left subarticular recess and it is possibly impinging upon the descending left S1 nerve roots.

3.There is also mild circumferentially bulging disc and disc dehydration with posterior annular fissure at L4-5 level which can contribute to pain.

4.There is small posterior synovial cysts in the facet osteoarthropathy present at L3-4 through L5-S1.

You should consult neuro surgeon.

Treatment for pain includes physiotherapy or surgical.
Effectiveness of both modalities are same.So,physiotherpay should be tried first. It causes strengthening of Para spinal muscles and it prevents further changes.
Surgery should be the last option.
There are also medicines available for pain relief.
Weight reduction will also help.
Get well soon.

Take Care
Dr.Indu Bhushan
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