Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Meaning Of The MRI Test Report?
Lumbar Spine MRI Report states the following and I have not seen my Dr yet, Can some please shed some light on this report for me? Thank You
L4-5= Eccentric focal left paramedian posterior disc protrusion resulting in lateral recess narrowing. There is mild facet arthropathy and thickening of the ligamentum flavum. There is mild right and moderate left neuroforaminal narrowing.
L5-S1= Focal central disc protrusion with mild impression on the ventral thecal sac. There is mild mild facet arthropathy and thickening of the ligamentum flavum.
There are small bilateral extrarenal pelves.
IMPRESSION: Lower Lumbar Spine apoptosis with L4-5 foraminal narrowing.
L4-5= Eccentric focal left paramedian posterior disc protrusion resulting in lateral recess narrowing. There is mild facet arthropathy and thickening of the ligamentum flavum. There is mild right and moderate left neuroforaminal narrowing.
L5-S1= Focal central disc protrusion with mild impression on the ventral thecal sac. There is mild mild facet arthropathy and thickening of the ligamentum flavum.
There are small bilateral extrarenal pelves.
IMPRESSION: Lower Lumbar Spine apoptosis with L4-5 foraminal narrowing.
Mon, 3 Mar 2014
Hello
Thanks for writing to us
According to MRI report you have degenerative disc disease of lumbar spine.
Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis which allows herniation of disc.
1.At L4-5 level there is eccentric focal left paramedian posterior disc herniation causing lateral recess narrowing.
There is mild facet arthropathy and thickening of the ligamentum flavum.
There is mild right and moderate left neural foramen narrowing.
2.At L5-S1 level there is focal central disc herniation with mild impression on the ventral thecal sac.There is mild facet arthropathy and thickening of the ligamentum flavum.
There are small bilateral extrarenal pelvis in both kidneys.
Treatment for degenerative lumbar disease includes physiotherapy or surgery.
Effectiveness of both modalities are same.So,physiotherpay should be tried first. It causes strengthening of Para spinal muscles and it prevents further changes.
Surgery should be the last option.
There are also medicines like capsule pregabalin available for pain relief.
Treatment can be planned after consultation with neurosurgeon.
Get well soon.
Take Care
Dr.Indu Bhushan
Thanks for writing to us
According to MRI report you have degenerative disc disease of lumbar spine.
Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis which allows herniation of disc.
1.At L4-5 level there is eccentric focal left paramedian posterior disc herniation causing lateral recess narrowing.
There is mild facet arthropathy and thickening of the ligamentum flavum.
There is mild right and moderate left neural foramen narrowing.
2.At L5-S1 level there is focal central disc herniation with mild impression on the ventral thecal sac.There is mild facet arthropathy and thickening of the ligamentum flavum.
There are small bilateral extrarenal pelvis in both kidneys.
Treatment for degenerative lumbar disease includes physiotherapy or surgery.
Effectiveness of both modalities are same.So,physiotherpay should be tried first. It causes strengthening of Para spinal muscles and it prevents further changes.
Surgery should be the last option.
There are also medicines like capsule pregabalin available for pain relief.
Treatment can be planned after consultation with neurosurgeon.
Get well soon.
Take Care
Dr.Indu Bhushan
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Lumbar vertebrae
Loading Online Doctors....