Help translate MRI-scan and X-ray image results Posted: 06-18-07 11:42am
I am having extreme pain on lying down in
my right hip, leg to my foot with stabbing
pains, , cannot sleep or rest.
My doctor ordered this MRI, never called
me with the results, I had to pick them
up, ordered P.T. and says I don't need to
come back for a follow up.
Is there anything in the MRI that may be
causing my pain, should i see a
neurologist for a followup?
I haven't started P.T. yet, as the this
m.d. seems uninterested in me.
"Current medical status: back x-ray, AP,
lateral, both obliques and spot lateral
view of the lumbosacral junction shows
mild dextroscoliosis. There is narrowing
at L4-L5 and L3-L4 interspace levels.
There is minimal anterior spurring at both
of these levels. No acute compression
deformity is present. Zygapophyseal joints
show some mild narrowing and sclerosis at
L4-L5 and L5-S1 interspace levels. The SI
joints are intact as visualized.
IMPRESSION: Mild to moderate
intervertebral chondrosis. Some lower
lumbar zygapophyseal joint degenerative
changes. MRI FINDINGS MRI OF THE LUMBAR
SPINE, 5/31/07: CLINICAL DATA: Increasing
low back pain with radiation into the
right hip and lower extremity. TECHNIQUE:
MRI of the lumbar spine was performed
using the standard protocol. COMPARISON:
None. FINDINGS: There is grade I
spondylolisthesis of L4 on L5. No
spondylolisis seen. Moderate disc space
narrowing is identified at L3-L4. There is
mild to moderate disc space narrowing at
L4-L5. The remainder of the intervertebral
disc spaces are intact. Mild
discovertebral degenerative changes are
noted in the lower lumbar spine.
Circumferential disc bulges are identified
at L2-L3 through L4-L5. No significant
central spinal canal stenosis is
identified at these levels. There is a
relatively small posterior disc herniation
at L5-S1 on the left. No significant
central spinal canal stenosis is seen at
this level, however, there is mild
narrowing of the left lateral recess
affecting the left S1 nerve root. There is
mild bilateral neural foraminal narrowing
at L3-L4 secondary to bulging disc. Mild
neural foraminal narrowing is also seen at
L4-L5 on the right. There is moderate
narrowing of the neural foramen at L4-L5
on the left. This finding is in part
related to hypertrophic fac! et joint
changes at this level. IMPRESSION: 1.
Grade I spondylolisthesis of L4 on L5. No
spondylolysis. 2. Disc space narrowing at
L3-L4 and at L4-L5. 3. Circumferential
disc bulges at L2-L3 through L4-L5. There
is a small focal posterior disc herniation
at L5-S1 on the left. Mild left lateral
recess narrowing is seen at L5-S1. 4. No
significant central spinal canal stenosis.
5. Bilateral neural foraminal narrowing at
L3-L4 and L4-L5 as described above."
I agree with you that your doctor does not
seem interested in you. Both the MRI-scan
and X-ray image show that there are
spondylotic changes in the lumbar-sacral
part of the spine that probably cause
those pains. Painkillers and physical
therapy may help... but some spondylotic
changes like discus hernia are best
treated surgically. You might consider
consulting an orthopedist or neurosurgeon
for a second opinion. And you might change
doctors!
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