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What Do My Lab Test Reports Indicate?

Posted on Fri, 23 Jun 2017

Question: hi. I hope you can read attached mri and give me your thoughts. thanks

Answered by Dr. Indu Kumar (1 hour later)

Brief Answer:
MRI findings suggests age related degenerative changes in spine.

Detailed Answer:
Hello,
Thanks for writing back,
I've gone through your query and understand your concern,

MRI findings suggests age related degenerative changes in spine.
There are schmorl's nodes in vertebra.There are degenerative findings and it develops due to herniation of nucleus pulposus in the adjacent vertebra.
There are also associated disc herniation and central canal stenosis.

You may need proper clinical evaluation.
You may need physiotherpy and may need to modify daily activities.
You may need to avoid certain postures.

Get well soon.

Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr. Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Indu Kumar (20 minutes later)

thanks. what are schmorl nodes? and nucleus pulposus? is this serious? do I have a fracture by l1? I take omeprazole because of esophagitis. is this making it worse? what kind of moderation in daily activities do you mean? thanks in advance

Answered by Dr. Indu Kumar (11 hours later)

Brief Answer:
These are age related degenerative changes.

Detailed Answer:
Hello,
Thanks for writing back,
I've gone through your query and understand your concern,

Nucleus pulposus are part of inter vertebral disc which are present in between two vertebra.These may herniate into adjacent vertebra to form schmorl nodes.
These are not very serious findings and these are age related degenerative changes.

You don't have L1 vertebra fracture.There are compressive changes in end region.

You may consult physiotherapist and avoid certain postures like abrupt forward bending etc.
Avoid lifting heavy objects and need exercise regularly.Regular exercise will strengthen back muscles and may prevent further changes.

Get well soon.

Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr. Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Indu Kumar (2 hours later)

thanks. I have been having pains in right side chest and back. can the problems with my spine cause this? I had ct scan of chest and it was fine. thanks for your help

Answered by Dr. Indu Kumar (5 hours later)

Brief Answer:
It may be related to spine.

Detailed Answer:
Hello,
Thanks for writing back,
I've gone through your query and understand your concern,

It may be related to spine.
However you may also need ultrasound of abdomen to exclude other probable causes.
It is not related to omeprazole.

Get well soon.

Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr. Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Indu Kumar (22 hours later)

I have been on omeprazole for 3 years because of my esophagitis. can this cause the degeneration and osteoporosis that I have? or is it because I am 67 years old. thanks

Answered by Dr. Indu Kumar (16 hours later)

Brief Answer:
It is not related to omeprazole.

Detailed Answer:
Hello,
Thanks for writing back,
I've gone through your query and understand your concern,

Sorry for replying late.

It is not related to omeprazole.
Degenerative changes and osteoporosis are age related findings.

Get well soon.

Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr. Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Prasad