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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Good Morning, I’m A 34 Yers Old Man With Cronic

Good morning,
I’m a 34 yers old man with cronic Lower back pain.
I had an MRI done last week and I would like a second opinion.

This is the report:
The L5/S1 disc shows a subtle asymmetric diffuse posterior bulge but without neural compromise. Mild facet hypertrophy is also seen but without significant neural net compromise. End plate degenerative changes with sclerosis are also seen at this level with marrow edema on the left.
The L4/5 disc shows an asymmetric diffuse posterior bulge, which along with facet hypertrophy causes mild narrowing of the lateral recesses, left greater than right. Significant central canal compromise is however not seen. End plate degenerative changes with sclerosis are also seen at this level with marrow edema on the left.
The rest of the intervertebral discs appear grossly normal. The rest of the visualized vertebrae are also normal with normal marrow signal.
The conus is normal. The perivertebral soft tissues appear grossly normal. The sagittal bony canal dimensions are within normal limits.

The L4/5 and L5/S1 end plates show degenerative changes with a combination of type 1 and type 2 Modic changes, more on the left. Both discs show degeneration.
Asymmetric disc bulge with facet hypertrophy is seen at L5/S1 without neural compromise.
Asymmetric disc bulge with facet hypertrophy is also seen at L4/5 causes mild narrowing of the lateral recesses, left greater than right.
The rest of the features are as described.
Kind regards
Marco
Tue, 16 Oct 2018
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Good Morning, I’m A 34 Yers Old Man With Cronic