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What Does My Pelvis MRI Scan Report Indicate?

Posted on Mon, 26 Oct 2015

Question: does the attached look like a inflamed sacral nerve root, perhaps S5. I just recently had a pelvis MRI.

Answered by Dr. Ajay Panwar (1 hour later)

Brief Answer:
Inflamed sacral nerve root.

Detailed Answer:
Hi XXXXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

I have seen the MRI film you have uploaded.Yes,this likely shows an inflamed sacral nerve root.Exact anatomical localization will be feasible if you can further provide some more sections of the MRI.

Please follow up with some more images.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (21 minutes later)

I have added additional images in the series to confirm location. Also, do you know if anything can be done for this to reduce inflammation.

Looking at it more, it may be S1 but you would know more than I. I attached another view.

I can upload the full MRI if you wanted to look

Answered by Dr. Ajay Panwar (17 hours later)

Brief Answer:
Please upload the MRI.

Detailed Answer:
Hi XXXXXX,
Thanks for being in follow-up.

I would appreciate if you can upload your complete MRI CD as a .rar archived file on google drive and share the drive link here.
I shall view your MRI with my default dicom viewer.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (35 minutes later)

Here is a link to the rar files. I have included other studies as well in case you need as reference. I have compressed the entire CD. If you just need and dicomdir file and the dicom directory let me know and I can remove the other files from the archives.

https://YYYYYY/folderview?YYYYYYYYY

I uploaded an old MRI from January, perhaps this is the same nerve root

Answered by Dr. Ajay Panwar (16 hours later)

Brief Answer:
MRI shows contrast enhancing space occupying lesion-Infectious??

Detailed Answer:
Hi XXXXX,
Thanks for being in follow-up.

I have gone through the MRI of Lumbo-sacral spine you have uploaded.It shows a contrast enhancing space occupying lesion posteriorly in the lumbosacral legion(L4-L5,L5-S1).It is probably of infectious origin.It is causing secondary enhancement of nerve radicles.Not specifically S1,but other nerve radicles also seem to be enhanced in the corresponding lumbosacral region.

I suggest you to please get an expert opinion from a Radiologist.

If you have any further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review as your rating will be of help to me.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (5 hours later)

which file did you review? 2015-09-30 - Pelvis Neurography or 2015-05-19 - MRI Lumbar. I wonder if what you are seeing is the post operative seroma in 2015-05-19 - MRI Lumbar. I did have this tested and it was not infectious. Or perhaps you are seeing something else. I have found that radiologists are not very consistent, it is all based on their experience. My pain is located in the pelvis / sacrum region.

Answered by Dr. Ajay Panwar (36 minutes later)

Brief Answer:
Of course! Seroma can be a differential.

Detailed Answer:
Hi XXXXXX,
Thanks for being in follow-up.

Yes.It's the Lumbar MRI of April month I have seen.The space occupying lesion is possibly a seroma then,in view of your background history.

Pelvic neurography,I could not view because I got messed up in a large number of rar.compressed files,you have uploaded.
Is there a latest MRI available,because I don't have much experience of reading neurography films although the initial images you uploaded were indicative of unilateral sacral radiculopathy.

Also tell,your symptoms in detail.What type of pain?Is it radiating or not?Tingling or numbness?Bladder involvement or not?
Symptoms have to be clinically correlated.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (1 hour later)

the neurography rar contains rars that are part of the viewer. I have burning from my low back through the sacrum with numbness on the left side of the buttocks. I difficulty urinating and have to catheterize. Both legs tingle off and on.

Answered by Dr. Ajay Panwar (2 hours later)

Brief Answer:
Appears to be bilateral radiculopathy.

Detailed Answer:
Hi XXXXX,
Thanks for being in follow-up.

I have gone through MR Neurography.

To me,it appears that nerve radicles in pelvic region are involved on both sides.It apparently is bilateral lumbo-sacral radiculopathy(I am not able to comment upon the exact root value because of my limited experience in reading neurography films).Your symptoms also indicating towards B/L radiculopathy.

I suggest to please get a repeat MRI L-S spine with contrast to look for the changes in space occupying lesion(likely seroma).

Meanwhile,you should start treatment considering radiculopathy as the working diagnosis.

A radiologist may help to tell the exact root value of the radicle involved.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar