MRI EXAMINATION OF THE LUMBAR SPINE WITHOUT CONTRAST

MRI EXAMINATION OF THE LUMBAR SPINE WITHOUT CONTRAST

INDICATION FOR STUDY:           Low back pain.

FINDINGS:               Sagittal T1 and T2 and axial T1 and T2 weighted images were obtained on the Open MRI at XXXXXXX.  The vertebral bodies appear to show slight desiccation of the disc.  There is exaggeration of the normal curvature, but no significant spondylolisthesis, but slight offset at the levels of L3-L4 and L4-L5 of few millimeters.  The patient also has slight rotary scoliosis.  The conus and nerve roots within the thecal sac show no gross abnormality.  There is a simple appearing cyst in the left kidney.  There are degenerative changes and atherosclerotic changes.  There are changes consistent with a compression deformity of the T12 vertebral body.  This does appear to have edema within it and concerning for subacute fracture with only slight vertebral body height loss.  Other etiologies cannot completely be excluded.  If there is any further concern, contrast evaluation or further evaluation may be considered or correlation with other imaging studies.

At the level of L1-L2, there is slight indentation on the anterior thecal sac, but no significant central canal stenosis or neuroforaminal narrowing.

At the level of L2-L3, there is ligamentum flavum hypertrophy, which appears prominent.  There are degenerative changes of the facet joints.  These changes overall are causing mild central canal stenosis.  There is no significant disc herniation or neuroforaminal narrowing.

At the level of L3-L4, there is prominent ligament flavum hypertrophy, degenerative changes of the facet joints, and slight indentation on the anterior thecal sac.  These changes overall are causing mild central canal stenosis.  There is slight indentation on the exiting nerve roots, but no significant impingement.

At the level of L4-L5, there is mild disc bulge with indentation on the anterior thecal sac.  There is no significant central canal stenosis.  There are slight degenerative changes of the facet joints.  There is no significant neuroforaminal narrowing.

 

At the level of L5-S1, there is slight indentation on the anterior thecal sac, but no significant central canal stenosis.  There is no significant neuroforaminal narrowing.  There are degenerative changes of the facet joints.  If there is any further concern, would recommend further evaluation as necessary.

IMPRESSION:          Compression deformity with edema in the T12 vertebral body with very little vertebral body height loss.  There are degenerative changes and changes consistent with spinal stenosis as discussed above for each of the levels.  A preliminary report was discussed with Dr. XXXXXXX.  Would recommend further evaluation as clinically necessary.

Thank you for the referral.

XXXXXXX

MRI EXAMINATION OF THE LUMBAR SPINE WITH AND WITHOUT CONTRAST

MRI EXAMINATION OF THE LUMBAR SPINE WITH AND WITHOUT CONTRAST

INDICATION FOR STUDY:           Pain.  Radiculopathy.

FINDINGS:               Prior attempted evaluation with only sagittal T2 weighted images was performed on XXXXXXXX on the 1.5 Tesla GE MRI and prior MRI examination was performed on XXXXXXXX.  Sagittal T1 and T2, axial T1 and T2, and post-contrast sagittal and axial T1 weighted images on the Open MRI were performed.  There is continued evidence of significant degenerative changes and degenerative disc disease at the level of L2-L3.  There is slight offset of the vertebral bodies at L4-L5 of few millimeters.  There is desiccation of the disc.  The conus and nerve roots within the thecal sac show no gross abnormality.  There is no significant abnormal enhancement to the vertebral bodies or thecal sac region.

At the level of L1-L2, there is no significant disc herniation, central canal stenosis, or neuroforaminal narrowing.

At the level of L2-L3, there is degenerative disc disease and disc space loss.  There is indentation on the anterior thecal sac and mild central canal stenosis.  There are degenerative changes of the facet joints and slight disc disease causing left neuroforaminal narrowing.  There is no significant right neuroforaminal narrowing.  There is no significant abnormal enhancement around the thecal sac or neuroforaminal region.  These changes are best seen on image 4 and 5 of series 7.

At the level of L3-L4, there is diffuse disc herniation, degenerative changes, and ligament flavum hypertrophy overall causing mild central canal stenosis.  There is indentation on the exiting nerve roots slightly bilaterally, but no significant impingement.  There is no significant abnormal enhancement around the thecal sac or neuroforaminal regions.

At the level of L4-L5, there are degenerative changes and slight offset of few millimeters as previously discussed.  There is diffuse disc herniation, degenerative changes, and ligament flavum hypertrophy overall causing mild-to-slightly-moderate central canal stenosis, which is also seen previously, but does not appear significantly changed.  There is continued evidence of slight indentation on the exiting nerve roots bilaterally, but no significant impingement, slightly greater on the right than the left.

There is no significant abnormal enhancement around the thecal sac or neuroforaminal regions.

At the level of L5-S1, there is slight indentation on the anterior thecal sac.  There is no significant central canal stenosis or neuroforaminal narrowing.  There are degenerative changes.  There is no significant abnormal enhancement around the thecal sac or neuroforaminal regions.  Overall, the examination does not appear significantly changed compared to previously and would recommend clinical correlation or further evaluation as necessary.  Would recommend reference to the patient’s plain film reports also.

Thank you for the referral.

XXXXXXXX

MRI EXAMINATION OF THE LUMBAR SPINE WITHOUT CONTRAST

MRI EXAMINATION OF THE LUMBAR SPINE WITHOUT CONTRAST

INDICATION FOR STUDY:         724.4.

FINDINGS:               Sagittal T1 and T2 and axial T1 and T2 weighted images were obtained on the Open MRI at XXXXXXXX.  The vertebral bodies appear in relatively good alignment.  There is desiccation of the disc in the lower lumbar spine especially.  The conus and nerve roots within the thecal sac show no gross abnormality.

At the levels of L1-L2, L2-L3, and L3-L4, there is slight indentation on the thecal sac, but no significant central canal stenosis or neuroforaminal narrowing.  There are slight degenerative changes of the facet joints especially at L3-L4.

At the level of L4-L5, there is a diffuse disc herniation, degenerative changes, and slight ligament flavum hypertrophy.  These changes overall are causing indentation on the thecal sac, but no significant central canal stenosis.  There is slight indentation on the exiting nerve roots, but no significant impingement.

At the level of L5-S1, there are similar changes as seen on L4-L5, but once again no significant central canal stenosis or neuroforaminal narrowing.  There are slightly more prominent degenerative changes and disc disease noted in the anterior aspect of the disc space at this level also.  The nerve roots within the thecal sac show slight indentation on them, but no significant impingement.

IMPRESSION:         Degenerative changes with indentation on the thecal sac and neuroforaminal regions slightly, but no significant impingement or central canal stenosis as discussed above.  Would recommend further evaluation as clinically necessary.

Thank you for the referral.

XXXXXXXX

MRI EXAMINATION OF THE LUMBAR SPINE WITHOUT CONTRAST

MRI EXAMINATION OF THE LUMBAR SPINE WITHOUT CONTRAST

FINDINGS:               Sagittal T1 and T2 and axial T1 and T2 weighted images were obtained on the 1.5 Tesla GE MRI.  There is desiccation of the L5-S1 disc.  The remainder of the disc appear well hydrated.  There is slight disc space loss at L5-S1.  The conus and nerve roots within the thecal sac show no gross abnormality.

At the levels of L1-L2, L2-L3, and L3-L4, there is no significant disc herniation, central canal stenosis, or neuroforaminal narrowing.

At the level of L4-L5, there is slight central-to-left paracentral and lateral disc herniation causing indentation on the anterior thecal sac.  There is no significant central canal stenosis or neuroforaminal narrowing.  The age of this is indeterminate.

At the L5-S1 level, there is slight lateral disc herniation causing indentation on the exiting nerve root and indentation on the nerve root within the thecal sac on the left.  There is no significant central canal stenosis or neuroforaminal narrowing.  The age of this is indeterminate.  If there is any further concern, would recommend further evaluation as clinically necessary.

Thank you for the referral.

XXXXXXXXX

MRI EXAMINATION OF THE LUMBAR SPINE WITHOUT CONTRAST

MRI EXAMINATION OF THE LUMBAR SPINE WITHOUT CONTRAST

FINDINGS:               Sagittal T1 and T2 and axial T1 and T2 weighted images were obtained on the 1.5 Tesla GE MRI.  The patient had prior study from xxxxxxxxx for comparison.  There is continued evidence of slight desiccation of the disc at the L3-L4 through L5-S1 level.  The conus and nerve roots within the thecal sac show no gross abnormality.  There is desiccation of the T12-L1 level disc and slight indentation on the anterior thecal sac.  If there is any further concern, more dedicated evaluation of the thoracic spine may be considered.  Once again, there are incidentally noted changes suggestive of cysts in the kidneys.

At the L1-L2 through L3-L4 levels, there is no significant disc herniation, central canal stenosis, or neuroforaminal narrowing.  There are slight degenerative changes of the facet joints.  This does not appear significantly changed.

At the level of L4-L5, there is continued evidence of mild disc bulge and ligament flavum hypertrophy.  There are slight degenerative changes of the facet joints.  This overall is causing mild central canal stenosis, which does not appear significantly changed compared to previously.

At the L5-S1 level, there is continued evidence of slight indentation on the anterior thecal sac, but no significant central canal stenosis or neuroforaminal narrowing.  There are degenerative changes of the facet joints.  Overall, the examination does not appear significantly changed compared to previously and would recommend further evaluation as necessary.

xxxxxxxxxxx