Could someone help interpret the recent MRI I received. I had my 2nd surgery last year and these findings are in comparison to a pre-surgery mylogram and pre-surgery MRI.
Any help would be awesome. I broke it down into alpha-bullets for easier explanation.
a) Post surgical changes from prior left hemilaminectomy at L5. There is enhancement in susceptibility artifact in the posterior soft tissues without focal fluid collection.
b) The clonus medullaris terminates at L1-L2 and the distal spinal cord signal and morphology is normal.
c) T12-L3: Normal disk. No significant neural foraminal or spinal canal stenosis.
d) L3-L4: No change. Disc bulge concomitant mild facet joint arthrosis and ligament flavum hypertrophic changes results in ventral effacement of thecal sac. No significant narrowing of the neural foramen.
e) L4-L5: Disc bulge with central protrusion annular fissure in combination with mild facet joint arthrosis and ligamentum flavum hypertrophy results in ventral effacement of thecal sac, and closely approximates the travesing right L5 nerve root (image 99 series 9). Mild caudal narrowing of the left neural foramen. Right neural foramen patent.
f) L5-S1: Disc bulge with superimposed right central disc protusion (image 113 series 9; image 21 series 11) with endplate degenerative changes contacts the right traversing S1 nerve root (image 114 symptoms series 9) without displacing it. No significant narrowing of the right neural foramen. On the left. Central region there is focal enhancement adjacent to the posterior margin of the disc (image 17 series 14) focal scarring is noted posterior medial to the left at L5-S1 facet joint (image 112 series 12) which results in mild medial impression on the lateral thecal sac and mild medial displacement of the nerve roots, however there appears to be adequate room within the thecal sac.
1. Postsurgical changes from prior left-sided hemilaminectomy and discectomy as above. No evidence of surgical complication. As previously seen on the MRI dated 3/24/11 there is a disc bulge at the L5-S1 level which contacts the traversing right S1 nerve root. This finding is not significantly changed from the prior MRI reference above. There is mild increased granulation tissue noted in the left central region of the posterior disc (image 17 series 14) which approximates the traversing left S1 nerve root.
Degenerative spondylosis at L3-L4 and L4-L5 as
above, not significantly changed since prior MRI.
-----I am currently rated for the follwing:
40% Degenerative Disc Disease of the Lumbar
10% Radiculopathy of Left Lower Extremity.
Does any of the MRI results suggest anything significant?