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Conditions and Diseases > Back Pain Forum > MRI of Lumbar Spine
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Q: MRI of Lumbar Spine
asked by: princesslisa88 on January 17th, 2008
New User
Hi, I had a MRI of my Thoracic and Lumbar spine. The thoracic came back normal but they did find bilateral small posterior dependent pleural effusions in my lungs which I am getting checked out.

The lumbar came back and my doctor hasn't been real helpful in explaining what it all means to me. Does anyone know what posterior discal margins are and what facet syndrome is? Is that normal for a 30 year old female?

T11 to S3 demonstrated. Slight increased lordosis noted. Prevertebral vasculature, bone marrow signal normal. Conis is at the level of L1, normal size and signal intensity. No intrinsic lesion. Minimal facetal hypertrophy questioned at L4-I5 without neurocompressive change or overgrowth of the ligamentum flavum. Mild facetal hypertrophy, early arthrosis L5-S1. No neurocompressive lesion. Discal contour, discal hydration normal. No neurocompressive lesion.

Posterior discal margins. Questionable minor facet syndrome with early facet arthrisis at L5-S1 with normal appearing conus.
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RichT
replied on January 17th, 2008
Active User, very eHealthy
Hello Princesslisa,

I have a difficult time understanding the medical terminology with MRI reports.

If you are not getting a satisfactory explanation from your doctor, then I would suggest you get a second opinion from a neurologist/spinal surgeon. It is always a good a idea to have a 2nd opinion anyhow.

Oh yes, seek out the best spine doctor that you can find in your area.

Take care.

RichT
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Marie B.
replied on January 19th, 2008
Experienced User
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What were your symptoms before it was decided for you to have an MRI?

You have a lot of normal aspects about your spine from the MRI. If you had some concept about the anatomy of the spine, in regard to the disc margins, they are determining if you have any buldging or herniated discs. Posterior means the back of the disc and vertebrae

When the word "demonstrated" is used, it mean that is the area that is showing or visible and they are determining its condition.

Facets are the joints in the vertebrae which develops changes with age and use and possible medical problems like arthritis. It is saying that you are showing mild changes at the age of 30.
Hey and your ligamentum flavum is in good shape. That's the lining that goes around the vertebral canal through which the spinal cord passes. That's great!
My age is about double yours and when I had my surgery, my surgeon had to remove an inch and one half of overgrowth which pressed on my spinal cord and created a major stenosis.

Lordosis means that your spine isn't perfectly straight. There is a portion of it where it leans very slightly.

The conus is the spinal cord end which is usually for most folks at the L1. Th cord then divides into a zillion little nerve strands called the cauda equina (horses' tail") from the Lumbar region to the Sacral vertebrae. Yous is normal

Hey and you have no squashed nerves that are creating problems for you because of so many normal discs and vertebrae's. This is good.

Signal intensity is normal which means that your cord is happily sending its messages and receiving its messages to all parts of your body and doing it without any impingements.

I wish my MRI had said that. And just in case, I wanted to let you know that I am not a doctor but have a limited understanding of the spine.

I hope they determine what the problem with your lungs are.

Good Luck!
Marie B.
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