Please help me understand my MRI

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michael10711

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I had a Laminectomy on June 1, 2010 and it just doesn't feel right. My doctors wont explain. Can someone please help explain my MRI to me. It has been four months and my pain still averages at about an 8. Someone please help!


History: Low back pain. Status post lurabar spine surgery at L4-L5.

Technique: Multiplanar, multisequence MRI of the lurabar spine, without and
with contrast. 20 ml of Omniscan was injected intravenously.
Comparison:MRI of the lurabar spine from 04/27/2010


BODY OF REPORT:
The lurabar lordosis is preserved. Vertebral body heights are maintained.
There is no listhesis. The marrow signal is within normal limits. The
conus is normal in signal and position, located at L1.

T12-L1: Within normal limits.

L1-L2: Within normal limits.

L2-L3: Within normal limits.

L3-L4: Mild disc bulge. Mild bilateral facet hypertrophy. No central
canal or foraminal narrowing. Findings are similar to the prior study.

L4-L5: Disc desiccation and narrowing. Disc bulge with a superimposed
spondylotic central disc protrusion, slightly decreased in size since the
prior study. Bilateral facet hypertrophy. Mild to moderate central canal
narrowing. Mild left foraminal narrowing. An enhancing scar tract is
noted between the spinous processes of L4 and L5, just to the left of
midline. There is no drainable fluid collection. Minimal enhancing scar
tissue is noted just medial to the left facet joint, measuring 3 mm in
thickness.

L5-S1: Mild disc bulge. Mild bilateral facet hypertrophy. No significant
central canal or foraminal narrowing. Findings are similar to the prior
study.





IMPRESSION:
Disc bulge at L4-L5, with a superimposed spondylotic central disc
protrusion, slightly decreased in size since the prior study.

Postsurgical changes at L4-L5, with minimal enhancing scar tissue within
the left lateral epidural space, just medial to the left facet joint.
 
I think you need to insist that this is explained to you. The doctor works for YOU, not the other way around and he owes it to you to make sure you understand what is going on. If they won't, then I would urge you to find a different doctor who will. Make sure to take all your films with you if you are made to go that route.

Good luck.

Carol
 
Unfortunately I am forced to go that route the doctor i am seeing insists that there is nothing wrong and the pain i am in is only due to my muscles being tight. I know something is wrong. So the search for a new doctor begins again. Thanks for your help.
 
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