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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Bilateral Facet Arthropathy In Report Suggest?

L4-5 disc: Mild degenerative disk T2 signal hypointensities with a broad-based right-sided disk bulge resulting in moderate right L4-L5 foraminal stenosis and mild contact with the exiting right L4 nerve root in the foramen. Punctate focus of annular fissure T2 signal hyperintensity seen in the right. There is mild bilateral L4-5 facet arthropathy.L5-S1 disc: Mild diffuse degenerative disk bulge more prominent on the right with annular fissure T2 signal hyperintensities on the right. There is moderate right L5-S1 foraminal stenosis. In addition, there is broad-based left paracentral L5-S1 disk herniation associated with mild left S1 nerve root contact in the spinal canal. Mild bilateral L5-S1 facet arthropathy .Impression Diffuse degenerative L5-S1 disk bulge more prominent on the right associated with broad-based right-sided L4-5 disk bulge. There is moderate right L4-5 and L5-S1 foraminal stenosis with annular fissure T2 signal hypointensities at the right posterior L5-S1 and L4-5 disks.Broad-based left paracentral L5-S1 disk herniation with mild left S1 nerve root encroachment in the spinal canal. Advise clinical correlation for left S1 radiculopathy.Mild bilateral L4-5 and L5-S1 facet arthropathy.
Fri, 19 Dec 2014
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General & Family Physician 's  Response
Welcome to health care magic.

1.There is disc between the vertebral bodies, which are normally well hydrated.
2.In case of degenerative disease the hydration is lost and the disc is seen bulged out posteriorly at multiple mentioned levels.
3.The disc is seen causing pressure effect on the thecal sac at different mentioned levels.
4.And also seen the pressure effect on the exiting nerve roots causing the radiculopathy.
5.In this case the treatment includes exercises initially followed by the physiotherapy.

Good luck.
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What Does Bilateral Facet Arthropathy In Report Suggest?

Welcome to health care magic. 1.There is disc between the vertebral bodies, which are normally well hydrated. 2.In case of degenerative disease the hydration is lost and the disc is seen bulged out posteriorly at multiple mentioned levels. 3.The disc is seen causing pressure effect on the thecal sac at different mentioned levels. 4.And also seen the pressure effect on the exiting nerve roots causing the radiculopathy. 5.In this case the treatment includes exercises initially followed by the physiotherapy. Good luck. Hope i have answered your query, any thing to ask ? do not hesitate to ask. http://doctor.healthcaremagic.com/doctors/dr-ganesh/62888