T Nation

MRI Report - What's It Mean

hello, can anyone tell me what this report means.

MRI EXAM : MRI LUMBAR WITHOUT CONTRAST

HISTORY : LOW BACK PAIN RADIATING TO LEFT LEG FOR FIVE
MONTHS. NO TRAUMA.

MRI TECHNIQUE : EXAM WAS PERFORMED UTILIZING A GE HD 1.5T
SYSTEM. SAGITTAL T1, T2, FMPIR AND AXIAL T1 AND T2 WEIGHTED IMAGES
OBTAINED.

FINDINGS : There is straightening of the lumbar lordosis.

L4-5: There is a broad left subarticular disc protrusion. This
causes some narrowing of the spinal canal and is associated with some
left L4 neural foraminal stenosis. There is mild facet hypertrophic
change at this level.

L5-S1: There is a 1.4 (transverse) x 0.6 (AP) cm right central disc
protrusion. This indents the ventral margin of the thecal sac and
approaches the descending right S1 nerve root, though there is no
demonstration of impingement. The bilateral L5 neural foramina are
patent.

The remaining intervertebral disc levels show minimal degenerative
change without consequence to the major neural structures.

CONCLUSION :

  1. BROAD LEFT SUBARTICULAR DISC PROTRUSION WITH SOME LEFT SIDED
    SPINAL CANAL STENOSIS AND LEFT L4 NEURAL FORAMINAL STENOSIS.

  2. RIGHT CENTRAL DISC PROTRUSION AT L5-S1 WITHOUT CLEAR CONSEQUENCE
    TO THE ADJACENT NEURAL STRUCTURES.

i have the disc of images, yet have no idea how to take the moff. Its a HorizonMI Disc View if anyone has any suggestions. Thanks. Jamie

why didn’t you ask your doctor?

i dont see him till next week.

Having had some experience with this, I’ll give it a shot. In a nutshell, it means you have two herniations, one at L4-L5 and another at L5-S1. You’re L4-L5 herniation seems to be the primary cause of your sciatica going down your left leg. I’ve added some notes below.

[quote]ejamiec wrote:
hello, can anyone tell me what this report means.

MRI EXAM : MRI LUMBAR WITHOUT CONTRAST

HISTORY : LOW BACK PAIN RADIATING TO LEFT LEG FOR FIVE
MONTHS. NO TRAUMA.

MRI TECHNIQUE : EXAM WAS PERFORMED UTILIZING A GE HD 1.5T
SYSTEM. SAGITTAL T1, T2, FMPIR AND AXIAL T1 AND T2 WEIGHTED IMAGES
OBTAINED.

FINDINGS : There is straightening of the lumbar lordosis. [/quote]

This means you’ve lost a little of the natural curvature in your lower back.

[quote]
L4-5: There is a broad left subarticular disc protrusion. This
causes some narrowing of the spinal canal and is associated with some
left L4 neural foraminal stenosis. There is mild facet hypertrophic
change at this level.[/quote]

Disc material protruding to the left of the L5-L5 vertebrae. It is protruding towards the spinal canal (into the foramen) and causing it to narrow. See this:

[quote]
L5-S1: There is a 1.4 (transverse) x 0.6 (AP) cm right central disc
protrusion. This indents the ventral margin of the thecal sac and
approaches the descending right S1 nerve root, though there is no
demonstration of impingement. The bilateral L5 neural foramina are
patent. [/quote]

Another herniation at the L5-S1 disc with no apparent impingement on the sacral nerve. Protrusion is towards the right, thus your symptoms of sciatica going down your left leg are most likely due to the L4-L5 herniation.

[quote]
The remaining intervertebral disc levels show minimal degenerative
change without consequence to the major neural structures.

CONCLUSION :

  1. BROAD LEFT SUBARTICULAR DISC PROTRUSION WITH SOME LEFT SIDED
    SPINAL CANAL STENOSIS AND LEFT L4 NEURAL FORAMINAL STENOSIS.

  2. RIGHT CENTRAL DISC PROTRUSION AT L5-S1 WITHOUT CLEAR CONSEQUENCE
    TO THE ADJACENT NEURAL STRUCTURES.

i have the disc of images, yet have no idea how to take the moff. Its a HorizonMI Disc View if anyone has any suggestions. Thanks. Jamie[/quote]

To get those images off the disc, your best bet is to do a “print screen” capture and later paste the image into MS Paint or something similar.

-FricFrac

here is one image, i cant focus on 1 image for some reason since its a screen shot…

Yeah, man…those are two herniations. You can clearly see the bulges at L4-L5 & L5-S1. Welcome to “THE BACK CLUB!” There’s lots of members here at T-Nation. This link should get you started:

How did it happen? What lifts were you performing?

-FricFrac

a number of things, not enough core work, or stretching/flexabilty, deadlifts and squats were the main damagers. i havent been to the gym in 5 months, so i am basically starting over. i have PT starting this week. Thanks for the link, will look over each article and gleen information.

dont worry bud… how old are you? i had a severe protrusion of l5 s1 and ddd of lumbar. now the disc protusion shrank back to normal without loss of disc height. but now from the trauma of the injury i have developed foraminol stenosis at l5 s1.

different animal but def tolerable espically with strength training… look at all the back threads on T-Nation and learn all you can… train hard and smart and you should be fine.

how old are you

thanks, im 24

[quote]FricFrac wrote:
Yeah, man…those are two herniations. You can clearly see the bulges at L4-L5 & L5-S1. Welcome to “THE BACK CLUB!” There’s lots of members here at T-Nation. This link should get you started:

How did it happen? What lifts were you performing?

-FricFrac[/quote]

More clearly, you can easily see the white-colored fibrocartilidge, but you can’t see it on the lower two discs because the discs have herniated, and leaked out, so to speak. You can also see that the spacing between L4/L5 and L5/S1 is smaller than the others.

[quote]Xab wrote:
FricFrac wrote:
Yeah, man…those are two herniations. You can clearly see the bulges at L4-L5 & L5-S1. Welcome to “THE BACK CLUB!” There’s lots of members here at T-Nation. This link should get you started:

How did it happen? What lifts were you performing?

-FricFrac

More clearly, you can easily see the white-colored fibrocartilidge, but you can’t see it on the lower two discs because the discs have herniated, and leaked out, so to speak. You can also see that the spacing between L4/L5 and L5/S1 is smaller than the others. [/quote]

thanks for the information. i appreciate it