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Can anyone give me an idea about this MRI ?

Can anyone decipher this MRI result ?

I'm in a lot of pain.

THANK YOU in advance,

Bill

Examination
MR lumbar spine without contrast  
MR Thoracic Spine WO Gad

Clinical History

mid back pain  
rule out herniated nucleus pulposus

Comparison

None

Technique
MRI of the thoracic and lumbar spine performed without the use of intravenous
contrast.

Findings
Thoracic spine:  The alignment of the thoracic spine is abnormal with mild
dextro convex curvature, and relative kyphosis at the T11-T12 level.  There is
no aggressive appearing osseous lesion.  Incidental note is made of a hiatal
hernia.  At the T9-T10 level, combination of facet arthropathy, disc bulge, and
osteophyte formation produces mild central canal narrowing, and moderate to
severe left neural foraminal narrowing. There is marrow signal change in common
especially in the region of the costovertebral joints and facets. There is a
small disc bulge with a left foraminal extension at the T11-T12 level as well
without significant central canal narrowing.

Lumbar spine:  There is mild levo convex curvature of the lumbar spine.  There
is no aggressive appearing marrow lesion.  The conus is normal in appearance,
and terminates at the L1-L2 level.  The visualized retroperitoneum is
unremarkable.
Findings at specific levels:
L1-L2:  There is loss disc height with disc bulging.  There is minimal caudal
neural foraminal narrowing bilaterally.  There is no central canal stenosis.
L2-L3:  There is near-complete loss of disc height with extensive endplate and
adjacent marrow reactive changes, especially on the right.  A right foraminal
disc protrusion is present in the background of disc bulging.  This contributes
to moderate right neural foraminal narrowing.  There is mild central canal
narrowing.  Disc bulge and facet arthropathy contribute to mild left neural
foraminal narrowing.
L3-L4:  A left foraminal disc protrusion in the background of diffuse disc
bulge, combined with facet arthropathy produces severe left neural foraminal
narrowing.  There is mild central canal narrowing.  There is mild right neural
foraminal narrowing due to disc bulge and facet arthropathy.
L4-L5:  Disc bulge and facet arthropathy produce moderate right and left neural
foraminal narrowing.  There is minimal central canal narrowing.
L5-S1:  Bilateral foraminal disc protrusions are present in the background of
disc bulge.  Combination of disc material, endplate proliferation change, and
facet arthropathy produce severe left and right neural foraminal narrowing.  
There is no central canal narrowing.

Impression
Lower thoracic and lumbar spine degenerative changes as described each level
above.

xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

Technique
MRI of the thoracic and lumbar spine performed without the use of intravenous
contrast.  

Findings
Thoracic spine:  The alignment of the thoracic spine is abnormal with mild
dextro convex curvature, and relative kyphosis at the T11-T12 level.  There is
no aggressive appearing osseous lesion.  Incidental note is made of a hiatal
hernia.  At the T9-T10 level, combination of facet arthropathy, disc bulge, and
osteophyte formation produces mild central canal narrowing, and moderate to
severe left neural foraminal narrowing. There is marrow signal change in common
especially in the region of the costovertebral joints and facets. There is a
small disc bulge with a left foraminal extension at the T11-T12 level as well
without significant central canal narrowing.

Lumbar spine:  There is mild levo convex curvature of the lumbar spine.  There
is no aggressive appearing marrow lesion.  The conus is normal in appearance,
and terminates at the L1-L2 level.  The visualized retroperitoneum is
unremarkable.
Findings at specific levels:
L1-L2:  There is loss disc height with disc bulging.  There is minimal caudal
neural foraminal narrowing bilaterally.  There is no central canal stenosis.
L2-L3:  There is near-complete loss of disc height with extensive endplate and
adjacent marrow reactive changes, especially on the right.  A right foraminal
disc protrusion is present in the background of disc bulging.  This contributes
to moderate right neural foraminal narrowing.  There is mild central canal
narrowing.  Disc bulge and facet arthropathy contribute to mild left neural
foraminal narrowing.
L3-L4:  A left foraminal disc protrusion in the background of diffuse disc
bulge, combined with facet arthropathy produces severe left neural foraminal
narrowing.  There is mild central canal narrowing.  There is mild right neural
foraminal narrowing due to disc bulge and facet arthropathy.
L4-L5:  Disc bulge and facet arthropathy produce moderate right and left neural
foraminal narrowing.  There is minimal central canal narrowing.
L5-S1:  Bilateral foraminal disc protrusions are present in the background of
disc bulge.  Combination of disc material, endplate proliferation change, and
facet arthropathy produce severe left and right neural foraminal narrowing.  
There is no central canal narrowing.


Impression
Lower thoracic and lumbar spine degenerative changes as described each level
above.
2 Responses
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Avatar universal
MEDICAL PROFESSIONAL
Hello and hope you are doing well.

The MRI with and without contrast, shows evidence of degenerative changes, with foraminal narrowing. The foramina are outlets through which the nerves exit. If the narrowing causes compression on the nerves, it can cause symptoms such as pain or weakness of the limbs and back. The compression on the nerves needs to be relieved.  Therapy for spinal disorders can be conservative (nonoperative) and surgical (operative) management. Non operative therapies are ultrasound application, spinal traction, transcutaneous electric nerve stimulation and spinal injections. I would advise you to discuss various options with your doctor and initiate the right therapy for relief from pain. In the meantime, you can take OTC naproxen for relief from pain.


Hope this helped and do keep us posted.
Helpful - 0
Avatar universal
Thank you for your reply !

I am going to the Dr. tomorrow.

I would take NSAIDs , but they have already
caused a bad GI bleed, which hospitalized me.
I received 4 units of blood because of it.

:(
Helpful - 0
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