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7015927 tn?1387078560

Trying to understand MRI results

I had a MRI lumbar spine w/o contrast and the findings are :

FINDINGS:
Routine MRI of the lumbar spine was performed using sagittal and axial imaging . incidental finding in the right pelvis shows a moderate amount of free fluid. the tip of the conus is seen at the L1-L2 level and appears normal.

L3-L4 shows some broad based buldge or protrusion causing some deformity of the anterior portion of the thecal sac. but no canal or foraminal stenosis.

L4-L5 shows posterior element thickening causing mild canal narrowing but no neural forminal stenosis .

L5-S1 shows posterior protrusion/herniation in a central and left paracentral location displacing the left S1 root and abutting and causing mild deformity of the right S1 root. with no neural foraminal stenosis noted.

IMPRESSION:
MODERATE AMOUNT OF FREE FLUID SEEN ON THE RIGHT SIDE OF THE PELVIS,INCOMPLETELY VISUALIZED. SOME SPONDYLOSIS AT L3-L4 AND L4-L5 WITH PROTRUSION/HERNIATION AT L5--S1 AFFECTING BOTH S1 ROOTS.
4 Responses
7015927 tn?1387078560
bump
7015927 tn?1387078560
bump
7015927 tn?1387078560
Bump, ..... sorry but i need help understanding these results please and thank you !
351246 tn?1379682132
MEDICAL PROFESSIONAL
Hi!
The disc between L5-S1 vertebrae has slipped from its place and causing pressure on the S1 spinal roots on both sides. Along with this there is degenerative change in the L3, L4, and L5 vertebrae and the inter-vertebral disc between them. All this can cause pain in your lower back, pelvis, thigh and maybe the entire leg.
Usually such problems are managed by conservative treatments like hot and cold compress, stretching exercises, back low impact exercises, non-steroidal anti-inflammatory drugs, specially designed corsets, spinal manipulation and traction and epidural injections. If everything fails then laminectomy and other spine surgeries may be contemplated.

Free fluid in pelvis can be due to pelvic inflammatory disease, ovarian cysts or due to some pelvic malignancies. This would need a more detailed evaluation through ultrasound through the vaginal route and CT scan. Please consult your doctor regarding this. Hope this helps. Take care!

The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.
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