T
timeload
Guest
Can someone explain my MRI readings to me? I can't really understand what I'm reading.
Findings
scans were obtained with and without contrast
Comparison MRI 05/15/09
note is made of diffused multilevel mild spinal stenosis due to congenitally short pedicles
level by level evaluation is as follows:
t12-L2: unremarkable
L3-4: trace central disc bulging is present with central high signal zone. minimal anterior thecal sac flattening. corabination of congenital factors and this stable central focal disc bulge leaRAB to mild/moderate central stenosis but unchanged. mild facet arthropathy at this level. foramina patent
L4-5: post left laminectomy changes noted. there is an increasing amount of nonenhancing central left paramedian predominant disc protrusion. maximal AP diameter proximates 6-7mm. there is mild to moderate degrees of anterior thecal sac effacement greater on the left. lateral recesses are minimally stenotic. the foramina are patent.
L5-S1: chronic mild disc space narrowing and congenital stenosis at this level without findings of focal disc protrusion or foraminal stenosis.
Impression:
1. Increasing, 7mm nonenhancing left paramedian focal disc protrusion L4-5 adjacent to laminectomy site. mild to moderate mass effect.
2. Multilevel spinal stenosis from L3 through S1 due to congenitally short pedicles.
3. Stable mild central disc bulge L3-4. Corabined congenital stenosis and disc bulge lead to mild/moderate central stenosis
Findings
scans were obtained with and without contrast
Comparison MRI 05/15/09
note is made of diffused multilevel mild spinal stenosis due to congenitally short pedicles
level by level evaluation is as follows:
t12-L2: unremarkable
L3-4: trace central disc bulging is present with central high signal zone. minimal anterior thecal sac flattening. corabination of congenital factors and this stable central focal disc bulge leaRAB to mild/moderate central stenosis but unchanged. mild facet arthropathy at this level. foramina patent
L4-5: post left laminectomy changes noted. there is an increasing amount of nonenhancing central left paramedian predominant disc protrusion. maximal AP diameter proximates 6-7mm. there is mild to moderate degrees of anterior thecal sac effacement greater on the left. lateral recesses are minimally stenotic. the foramina are patent.
L5-S1: chronic mild disc space narrowing and congenital stenosis at this level without findings of focal disc protrusion or foraminal stenosis.
Impression:
1. Increasing, 7mm nonenhancing left paramedian focal disc protrusion L4-5 adjacent to laminectomy site. mild to moderate mass effect.
2. Multilevel spinal stenosis from L3 through S1 due to congenitally short pedicles.
3. Stable mild central disc bulge L3-4. Corabined congenital stenosis and disc bulge lead to mild/moderate central stenosis