i got two mris and an extra and have no idea what they are talking about
Can anyone help to put the reports in simple terms.
1. Sagittal and axial T1 images before and after intravenous contast in sagittal and axial T2 images were oneFindings: There is moderate midlumbar scoliosis which is convex to the left side. Marked is based narrowing is present at L1-to come L2-3 and L3-4 L1-to come L2-3, L3-4 and L5-S1. Moderate anterior wedge deformity of T12 appears chronic. Osteophytes are located throughout the lumbar spine with disc desiccation.The conus is normal in signal intensity and morphology.L5-S1:Bilateral laminectomy defects from prior surgery. There is marked proliferative change involving the posterior elements on the side. Minimal asymmetric left-sided posterior vertebral osteophyte is present. There is asymmetric signal within the left lateral spinal canal which abuts the thecal sac and is most likely related to scar. Diffuse anaterior osteophyte is present with no definite disc herniation. The left L5-S1 neutral foramen is moderately narrowed.L4-5FinalThere is no disc herniation. Both apophyseal joints are moderately hypertrophic, contributing to mild canal stenosis and moderate bilateral neural foraminal stenosis.L3-4Posterior vertebral osteophyte abuts the ventral aspect of the thecal sac and there is bilateral apophyseal joint perforation greater on right side. These changes contribute to mild canal stenosis.L2-3There is no disc herniation or canal stenosis. The right L2-3 neural foramen is moderate markedly narrowed.L1-2A diffuse disc bulge flattens the ventral thecal sac resulting in mild canal stenosis. Both neural foramina are moderately narrowed.T12-L1There is no disc herniation, canal ro foraminal stenosisFinalT11-12Ther is no disc herniation, canal or foraminal stenosisImpression:1. Postoperative change at L5-S1. Asymmetric signal located lateral to the left side of the thecal sac is probably related to postoperative scar. Left-sided posterior vertebral osteophyte. There is no disc herniation or signigicant canal stenosis at this level.2. Mild canal stenosis L4-5 secondary to apophyseal joint proliferative changes.3. Mild canal stenosis at L3-4 secondary to posterior vertebral osteophyte and bilateral apophyseal joint proliferative changes.4. Mild canal stenosis at L1-2 secondary to a diffuse disc bulge.5. multilevel neural foraminal stenosis6. Moderate midlumbar levoscoliosis.
Lumbar spine:Clinical indication: Increased low back pain: post laminectomyAP and lateral views of the spine were performed the lateral view was performed in flexicon and extension aw well is in neutral position. There is levoscoliosis. There has been a laminexctomy at L5 and S1. Four and L5 S1. Hypertrophic change and sclerosis is noted at these levels. There is anterior wedging of T12 and L1. THe T12 compression fracture is approximately a 60 percent compression. The L1 compression fracture is approximately 25 percent compression. There is very limited motion on the flexion and extension images. There is no evidence of abnormal mobility or change in alignment. There is incidental note of vascular calcification. The sacrum is normal. SI joints are symmetric. Impression: Scoliosis with pronounced degenerative disc disease and osteoarthritis. Compression fractures Tqw and L1 as described. L5-S1 laminectomy
MRI thoracic spine with and without contrast 5/22Comparison: 4-18-08 MRI Lumbar spine. Findings: THere is a moderate anterior compression deformity localizing to the T12 level.. THis is unchanged compared to the prior examination. There is no evidence of acute vertebral body stature loss nor abnormal enhancement. Minimal bulging discs are noted at several levels but there is no evidence of spinal canal compromise. There is linear T2 signal increase noted originating slightly cephalad relative to the T5 area and most prominent here but extending distally throughout the length of the canal. This measures approximately 2-3mm in size maximally at the T5 level and less so within the caudal protions of the spinal cord. THis is felt to represent prominent central canal versus syrinx formation. Impression:1. Small thoracic spinal cord syrinx/enlarged central canal. There is not as associated abnormal enhancement, disc extrusion, or acute osseous abnormality

thank you so much,
sunshine51