how bad is this? I'm 46... Currently on the 100mg fentanyl (sandoz) patch with 30mg roxicodone for bt
l1-2 contrast is seen centrally in the disc and there is a small central protrusion seen or disc herniation. There is mild bulging of the disc annulus. The protruding or herniating contrast causes a mild impression on the thecal sac, does not appear to be overall spinal stenosis
l2-3 there is contrast centrally in the disc space which then protrudes to a moderate degree centrally and left laterally. The appearance is consistant with disc herniation. The prtruding contrast causes a mild impression centrally on the thecal sac and more prominent narrowing or stenosis of the left lateral recess. There is likely some diffuse disc bulging and there may be some overall narrowing of the thecal sac.
L3-4 contrast is seen centrally in the disc space and then there is a large amount of contrast extending from the disc space into the left lateral recess and going inferiorly. There is a more mild central protrusion of contrast. Contrast appears to leak and herniates into the left lateral recess extending inferiorly consistant with disc herniation. There is also bulging of the disc annulus and a mild impression on the thecal sac.
L4-5 contrast centrally in the disc and then a small central broad based disc protrusion consistant with a small herniation with protruding contrast. There is a mild impression on the thecal sac. There is also disc bulging and there is mild narrowing bilaterally of the lateral recesses and probably of the neuroforamen. There is also some contrast bulging in the left anterolateral projection. Slight facet sclerosis is seen bilaterally.
L5-s1 additional axial images were obtained at l5-s1; no contrast is present. There appears to be some mild bulging of the disc annulus. Mild bilateral facet sclerosis. Mild narrowing of the neuroforamen from disc bulging.