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What Does The Following MRI Report Indicate?
Question: Dear Doctor,
Can you please explain to me in simple way about the result below it’s for a lady on her 50’s.
I look forward to hear from you.
Many thanks,
Sami
MRI examination of the Lumbar spine
Technique:-
• . Sagittal T1, T2 W images (plate 1,2)
• . Axial T2 W images ( plate 3)
Findings
• Preserved Lumbar Lordosis.
• Good vertebral alignment.
• Normal dimensions of the bony lumber spine canal.
• Diminished bright T2 signal of the lumbar inter-vertebral discs denoting their degenerations
With
• preserved their heights
• L4-5 mild diffuse posterior disc bulge touching the ventral aspect of the thecal sac and partially encroaching upon both neural exit foramina, more at right.
• Small marginal anterolateral osteophytosis of the lumber vertebral end plates.
• L1 small vertebral body osseous hemangioma.
• Modic type II degenerative marrow changes at L2-3 & L3-4 levels.
• Normal appearance of the conus-medullaris and cauda nerve root.
• No para vertebral soft tissue abnormality.
Opinion
• . L4-5 mild posterior disc bulge.
Can you please explain to me in simple way about the result below it’s for a lady on her 50’s.
I look forward to hear from you.
Many thanks,
Sami
MRI examination of the Lumbar spine
Technique:-
• . Sagittal T1, T2 W images (plate 1,2)
• . Axial T2 W images ( plate 3)
Findings
• Preserved Lumbar Lordosis.
• Good vertebral alignment.
• Normal dimensions of the bony lumber spine canal.
• Diminished bright T2 signal of the lumbar inter-vertebral discs denoting their degenerations
With
• preserved their heights
• L4-5 mild diffuse posterior disc bulge touching the ventral aspect of the thecal sac and partially encroaching upon both neural exit foramina, more at right.
• Small marginal anterolateral osteophytosis of the lumber vertebral end plates.
• L1 small vertebral body osseous hemangioma.
• Modic type II degenerative marrow changes at L2-3 & L3-4 levels.
• Normal appearance of the conus-medullaris and cauda nerve root.
• No para vertebral soft tissue abnormality.
Opinion
• . L4-5 mild posterior disc bulge.
Brief Answer:
Report is showing lumbar spondylitis
Detailed Answer:
Hello,
I have studied this MRI report. This report is showing that the patient is having arthritis of the spine. It is also called lumbar spondylitis. There are sign of degeneration like extra bone formation (osteophytes).
Also there is disc herniation between L4 and L5 vertebra. This disc is causing nerve compression and spinal cord compression. It is more on the right side so patient can have pain more on right leg.
There is a non dangerous tumour also in L1 vertebra which is called hemangioma. There is no treatment needed for this tumour.
For lumbar spondylitis I have following suggestions.
1. back muscle strengthening exercises.
2. belt support for back
3. Tablet Pregabalin and Methylcobal one daily.
4. Avoid lifting heavy weight or forward bending.
I hope these steps will be helpful for you. Let me know if there is any other followup questions.
Thanks
Report is showing lumbar spondylitis
Detailed Answer:
Hello,
I have studied this MRI report. This report is showing that the patient is having arthritis of the spine. It is also called lumbar spondylitis. There are sign of degeneration like extra bone formation (osteophytes).
Also there is disc herniation between L4 and L5 vertebra. This disc is causing nerve compression and spinal cord compression. It is more on the right side so patient can have pain more on right leg.
There is a non dangerous tumour also in L1 vertebra which is called hemangioma. There is no treatment needed for this tumour.
For lumbar spondylitis I have following suggestions.
1. back muscle strengthening exercises.
2. belt support for back
3. Tablet Pregabalin and Methylcobal one daily.
4. Avoid lifting heavy weight or forward bending.
I hope these steps will be helpful for you. Let me know if there is any other followup questions.
Thanks
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
Thank you for the respond,i have other questions if that okay with you.
Many thanks,
Sami
Plain X-ray dorsal spine revealed:-
• Good alignment of the dorsal spine
• Tiny Anterior osteophytic lipping of the dorsal vertebrae.
• Preserved Disc spaces.
• No abnormal paraspinal soft tissue shadows.
Plain X-ray of both knee joints revealed:-
• Early Osteoarthritic change of the left knee joint evidence by spiky tibial spine, with tiny osteophytic lipping of the medial femoral condyle.
• Intact right knee joint.
• No intra articular radio-opaque loose bodies
Plain X-ray of the right foot revealed:-
• No bony or articular abnormalities detected.
Many thanks,
Sami
Plain X-ray dorsal spine revealed:-
• Good alignment of the dorsal spine
• Tiny Anterior osteophytic lipping of the dorsal vertebrae.
• Preserved Disc spaces.
• No abnormal paraspinal soft tissue shadows.
Plain X-ray of both knee joints revealed:-
• Early Osteoarthritic change of the left knee joint evidence by spiky tibial spine, with tiny osteophytic lipping of the medial femoral condyle.
• Intact right knee joint.
• No intra articular radio-opaque loose bodies
Plain X-ray of the right foot revealed:-
• No bony or articular abnormalities detected.
Brief Answer:
X ray of spine is mimicking MRI spine
Detailed Answer:
Hello,
As far as x ray of the spine concern it is showing same findings as MRI. There is sign of spine degeneration. The lipping of bone is sign of spondylitis.
Knee x ray is showing early arthritis. We can expect such changes at this age. I would recommend her hot water fomentation and physiotherapy. Also she should take regular calcium and vitamin D. Voletran ointment is also helpful. She should avoid squatting and sitting cross leg.
Foot x ray is not showing nay abnormality.
I hope this answers your query. Let me know if there is any other followup questions.
thanks
X ray of spine is mimicking MRI spine
Detailed Answer:
Hello,
As far as x ray of the spine concern it is showing same findings as MRI. There is sign of spine degeneration. The lipping of bone is sign of spondylitis.
Knee x ray is showing early arthritis. We can expect such changes at this age. I would recommend her hot water fomentation and physiotherapy. Also she should take regular calcium and vitamin D. Voletran ointment is also helpful. She should avoid squatting and sitting cross leg.
Foot x ray is not showing nay abnormality.
I hope this answers your query. Let me know if there is any other followup questions.
thanks
Above answer was peer-reviewed by :
Dr. Raju A.T
That's wonderful thank you again ,i have few examination result i want you to have look at it below please.
Once again thank you.
Kidney Function
Ref.range
Serum calcium (total) 8.5* mg/d1 8.6 – 10.3
Serum calcium (Ionized) 1.16 mmo1/L 1.10-1.31
Thyroid Function Tests
Ref.range
Total T3 128 ng/d1 52 - 185
Total T4 10 ug/d1 4.8 - 11.6
TSH 0.6 uIU/m1 0.40 – 4.20
Laboratory Report
Ref.range
ESR (1st hr) 14* 1 – 10mm/h
ESR (2nd hr) 30* 8 – 20 mm/h
Antistreptolysin O titre (ASOT) Less than 200 (Normal < 200 IU/m1)
C-Reactive protein (CR P) Less than 6 (Normal < 6 mg/L)
Rheumatoid factor (RF) Less than 8 ( Normal < 8 IU/m1)
S.Uric Acid 2.6 Male: 3 – 7 mg/dI
Female: 2.5 – 5.7mg/dI
URINE ANALYSIS
Physical Examination:
Volume sample ml.
Colour Yellow
Aspect Slightly Turbid
Reaction (PH) Acidic
Sp. Gr 1015 (N: 1.015 – 1.025)
Chemical Examination:
Albumin Nil
Glucose Nil
Acetone Nil
Bilirubin Nil
Bile Salts Nil
Urobilinogen Normal Trace
Once again thank you.
Kidney Function
Ref.range
Serum calcium (total) 8.5* mg/d1 8.6 – 10.3
Serum calcium (Ionized) 1.16 mmo1/L 1.10-1.31
Thyroid Function Tests
Ref.range
Total T3 128 ng/d1 52 - 185
Total T4 10 ug/d1 4.8 - 11.6
TSH 0.6 uIU/m1 0.40 – 4.20
Laboratory Report
Ref.range
ESR (1st hr) 14* 1 – 10mm/h
ESR (2nd hr) 30* 8 – 20 mm/h
Antistreptolysin O titre (ASOT) Less than 200 (Normal < 200 IU/m1)
C-Reactive protein (CR P) Less than 6 (Normal < 6 mg/L)
Rheumatoid factor (RF) Less than 8 ( Normal < 8 IU/m1)
S.Uric Acid 2.6 Male: 3 – 7 mg/dI
Female: 2.5 – 5.7mg/dI
URINE ANALYSIS
Physical Examination:
Volume sample ml.
Colour Yellow
Aspect Slightly Turbid
Reaction (PH) Acidic
Sp. Gr 1015 (N: 1.015 – 1.025)
Chemical Examination:
Albumin Nil
Glucose Nil
Acetone Nil
Bilirubin Nil
Bile Salts Nil
Urobilinogen Normal Trace
Brief Answer:
All these tests are normal
Detailed Answer:
Hello,. I have gone through these reports and I think that all these reports are normal. You are not having any thyroid or kidney problem.
I would recommend you to take calcium though as it is needed for bone. Blood level of calcium remains normal at the cost of bone calcium.
Thanks.
All these tests are normal
Detailed Answer:
Hello,. I have gone through these reports and I think that all these reports are normal. You are not having any thyroid or kidney problem.
I would recommend you to take calcium though as it is needed for bone. Blood level of calcium remains normal at the cost of bone calcium.
Thanks.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Answered by
Dr. Dr. Naveen Kumar Sharma
Orthopaedic Surgeon, Joint Replacement
Practicing since :2002
Answered : 4486 Questions
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