Question: Hi can I tell me what this all means pls... Thank you

Degenerative disease involving the lumbar spine as described
above consisting predominantly of mild facet degenerative disease and
disc bulges at L3-L4 and L5-S1. At L3-L4 the disc is more prominent far
laterally to the left where it approaches but does not definitively
involve the left L3 nerve.


MRI EXAMINATION OF THE CERVICAL SPINE WITHOUT CONTRAST:

The alignment of the cervical spine is within normal limits. Signal
intensity within the cervical cord is normal on the sagittal T2
sequence.

C2-3: Mild to moderate facet degenerative disease is present
bilaterally.

C3-4: Mild facet degenerative disease is present bilaterally.

C4-5: A mild broad-based disc osteophyte complex is present.

C5-6: There is a mild broad-based disc osteophyte complex which is
slightly more prominent to the left. There is no evidence of herniation
or canal stenosis.

C6-7: There is no evidence of bulge or herniation.

C7-T1: There is no evidence of disc bulge or herniation.

Note is made of increased signal intensity appreciated involving the T2
vertebral body centrally. This is decreased in signal intensity on the
T1 sequence. The appearance is nonspecific. This potentially may
represent an atypical hemangioma; however, malignancy including
metastatic disease or multiple myeloma/plasmacytoma cannot be excluded.

IMPRESSION:
1. Mild degenerative disease involving the cervical spine as described.
No evidence of disc herniation or cord signal abnormality.
2. Abnormal signal noted involving the T2 vertebral body, nonspecific.
I cannot exclude underlying malignancy. Further evaluation with a bone
scan is recommended.

The above information was called to and discussed with XXXXXXX XXXXXXX at
the time of the dictation.

This report was finalized on 12/2/2016 5:56 AM by Dr. XXXXXXX Anvar, MD.

Narrative
MRI EXAMINATION LUMBAR SPINE WITHOUT CONTRAST AND MRI EXAMINATION
CERVICAL SPINE WITHOUT CONTRAST

HISTORY: Neck pain, back pain.

COMPARISON: None.

MRI examination of the lumbar spine without contrast: The alignment of
the lumbar spine is within normal limits. The conus is at L1.

L1-L2: There is no evidence of disc bulge or herniation.

L2-3: There is no evidence of disc bulge or herniation.

L3-L4: There is no evidence of disc herniation. There is mild prominence
of the disc far laterally to the left where it extends into the neural
foramen resulting in mild neural foraminal compromise. It approaches but
does not definitely involve the left L3 nerve.

L4-L5: There is no evidence of disc bulge or herniation.

L5-S1: Moderate facet degenerative disease is present bilaterally. There
is a mild broad-based disc bulge with no evidence of herniation. There
is mild neural foraminal compromise bilaterally secondary to extension
of a small disc osteophyte complex into the neural foramen.