Back Problems - Vertebrae

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AM1

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My mom is a 52 year old female, have gone through mri and ct guided biopsy from l2 vertebrae where the results was as given below

1)open mri-lurabar spine with whole spine screening report results
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impression
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destructive lypic lesion with cortical breakthrough noted in l2 vertebral body and anterior aspect of l3 vertebral body-possibility of metastatic lesion to be excluded.

Anterior osteophytes noted at l3,l4 vertebrae.

Dessication of l3 , l4 inter vertebral disc.

Mild annular disc bulges noted at l3,l4 and l5-s1 levels.

No evidence of nerve roor indentation.

2)ct guided biopsy
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microscopic description

mutiple step deeper section from the core of tissue showing fragments of lamellar bone interspersed with fibril and marrow hemopoietic cells and crushed cellular aggregates and fibrosis.

Multiple deeper section also shows similar features with no evidence of any focul lesion.

Impression

ct guided biopsy from l2 vertebrae showing marrow with crushed artefacts and fibrosis.


We are worried and confused with the dianosis results.could anyone guide us with the interpretation of the above diagnostic report and suggest the next course of treatment/diagnosis.

Thanks and regarRAB
emmi
 
If your mom's doctor hasn't sat down and discussed these results with her, she neeRAB to give his office a call. I wouldn't even try to interpret this as it is pretty complex and neeRAB a specialist to analyze it and break it down into simple english for her.

I wish your mom the best of luck.

Carol
 
I would hope her doctor would be speaking with her soon to discuss the results. I'm sorry but the findings you mention are not ones that I have experience with.
 
Hi AM1...SpineAZ asked to take a look at your results to see if I could make sense of them. I'm not a doc or a radiologist ...just someone with a lot of problems of her own who has learned to read stuff out of need.

The MRI is pretty simple. There are bone spurs from arthritis at L3 and L4...pretty normal for a 52 year old. And the disks have gotten dried out and shrunken at the L3 and L4 vertebrae...another thing that happens with age and arthritis. And when disks dry out, the tend to start to bulge outward as they can no longer hold in their contents. They aren't herniated but they are sort of squished outward again at most of the vertebrae in the lower spine...L3,4,5 and S1. And the good news is that none of the spinal nerves have been compressed by any of this.

BUT and you know the but...there appears to be a lesion of some kind inside the body of the bone at L2 and the front of the vertebra at L3. Am MRI can't tell what kind of lesion...it could be a cancer or even an area of osteoporosis...or nothing at all........that is why the biopsy.

The biopsy seems to saying that it's all just regular bone. It does say there is "no evidence of any focal lesion".

This is just a diagnostic study but what is her diagnosis? Her doc has to make that after reading the results. What has he/she said is wrong if anything? The biopsy tells you what is there but not what is wrong. Do you know?

Jenny
 
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