I was in an accident in aug of 2013. i never had pain before the accident. January 2014 i had a lower lumber mri done and im at a loss on what to do who to see and where to go. the drs basically say to deal with it. here is what my mri said.
MRI LUMBAR SPINE WITHOUT CONTRAST
IMPRESSIONS:
1. There are multilevel degenerative changes of the lumbar spine as
discussed on a segmental basis as above. This is most pronounced at
L5/S1, where there is mild central spinal stenosis and mild to
perhaps moderate bilateral neural foraminal stenosis.
:END IMPRESSION
INDICATION: ICD-9 code 724.4, low back pain, patient reports right
lower extremity radiculopathy
TECHNIQUE: Multiplanar multisequence imaging
CONTRAST: None.
FIELD STRENGTH: 1.5 Tesla magnet
COMPARISON: CT scan abdomen and pelvis dated 10/23/2013.
FINDINGS:
There appear be 5 nonrib-bearing lumbar vertebral body levels as
noted on prior examinations. L5 is determined by the location of the
lumbosacral angle and the iliolumbar ligament, axial images 4 through
7.
There is maintenance of the normal lumbar lordosis, without evidence
of an acute fracture or subluxation. Inversion recovery images
demonstrate no evidence of abnormal suspicious bone marrow or soft
tissue edema.
Minimal Schmorl's node endplate deformities and marginal vertebral
body osteophytes are seen. Minimal chronic Modic type II degenerative
endplate changes are noted posteriorly L5/S1. Otherwise, the
vertebral bodies of the lumbosacral spine are normal in height,
signal intensity, and alignment. Degenerative disc height loss and
disc desiccation is seen most pronounced at L5/S1. Additionally there
is suggestion of a central annular tear at that level as well.
Distal spinal cord and conus medullaris are unremarkable, with the
conus terminating at the L2 level.
Evaluation of the regional soft tissues demonstrates multiple
bilateral renal cortical cysts, better seen on prior CT examination
of the abdomen and pelvis.
From T. 11/12 through T12/L1 sagittal imaging demonstrates minimal
posterior annular bulging. There is no stenosis.
At L1/2, no significant abnormalities are seen.
At L2/3, no significant abnormalities are seen.
At L3/4, there is minimal posterior annular bulging. Minimal
thickening of ligamentum flavum with minimal degeneration the facets
is suggested. There is no high-grade stenosis.
At L4/5, there is a mild broad-based disc bulge with mild facet and
ligamentum flavum hypertrophy. There may be minimal bilateral neural
foraminal stenosis.
L5/S1 there is degenerative disc height loss and disc desiccation
with a central annular tear. Additionally there is a focal central
disc protrusion with a broad-based disc bulge with degeneration the
facet joints. This concentrically narrowed central spinal canal the
resultant mild central spinal stenosis and mild to perhaps moderate
bilateral neural foraminal stenosis