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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Disc Bulge At L5-S1 Level Of Spine On MRI Suggest?

hi my name is stefany,i recently was injured in an auto accident. i was rear ended by two vehicles while i was at a red light. i dont understand my MRI vary well. 1. mild lower lumbar hyperlordosis 2.a 4mm mostly central disc protrusion at L4-5 with. mild central stenosis 3.a 2mm disc bulg at L5-s1 comments on mri: there is very mild lower lumbar hyperlordosis w.out significant scoliosis. tha sacral base angle is minimally increased. the lower two thoracic and first three lumbar interspaces are normal. at L4-5, ther is mild disc desiccation in conjunction w. a 4mm slightly broad-based but predominantly midline disc protrusion,mild thecal sac impingement and mild central steno sis. no major foraminal narrowing or nerve root impingement.facet joints are grossly normal. L5-s1 no significant degenerative disc disease. small disc bulge 2mm accentuated just in the left of mid line because of hyperlordosis,central canal is capacious and no significant central OR FORAMINAL NARROWING. conus is normal. no fractur or dislocation no intradural or paraspinous masses.. will i recover from this or will i have pain long term
Tue, 30 Dec 2014
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Radiologist 's  Response
Hi,
Thanks for writing in.

Please find your MRI findings explained below in simple language.

1. Mild lower lumbar hyperlordosis.

The curvature of spine is increased in the lower back.

2. A 4mm mostly central disc protrusion at L4-5 with. mild central stenosis. At L4-5, there is mild disc desiccation in conjunction w. A 4mm slightly broad-based but predominantly midline disc protrusion, mild thecal sac impingement and mild central stenosis. No major foraminal narrowing or nerve root impingement. Facet joints are grossly normal.

There is a small disc bulging at the L 4 - L 5 level which is causing slight narrowing of the spinal canal. The disc also shows loss of water content which is a degenerative change. No pinching of nerves is noted.

3. A 2mm disc bulge at L5-S1 comments on MRI: there is very mild lower lumbar hyperlordosis w.out significant scoliosis. The sacral base angle is minimally increased. L5-S1 No significant degenerative disc disease. Small disc bulge 2mm accentuated just in the left of mid line because of hyperlordosis,central canal is capacious and no significant central OR FORAMINAL NARROWING. conus is normal.

There is a slight disc bulging at L 5 - S 1 and it is more to the left of midline. There is no pinching of nerves.

4. The lower two thoracic and first three lumbar interspaces are normal.

Rest of the discs in mid back region are normal as visible on the scan.

5. No fracture or dislocation no intradural or paraspinous masses.

No features of trauma or growth seen on MRI.

From the above it is seen that you have mild disc degeneration problems at L 4 - 5 and L 5 - S 1 and this is not a serious concern. Any pain is to be treated with physiotherapy and neurogenic pain relievers.
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What Does Disc Bulge At L5-S1 Level Of Spine On MRI Suggest?

Hi, Thanks for writing in. Please find your MRI findings explained below in simple language. 1. Mild lower lumbar hyperlordosis. The curvature of spine is increased in the lower back. 2. A 4mm mostly central disc protrusion at L4-5 with. mild central stenosis. At L4-5, there is mild disc desiccation in conjunction w. A 4mm slightly broad-based but predominantly midline disc protrusion, mild thecal sac impingement and mild central stenosis. No major foraminal narrowing or nerve root impingement. Facet joints are grossly normal. There is a small disc bulging at the L 4 - L 5 level which is causing slight narrowing of the spinal canal. The disc also shows loss of water content which is a degenerative change. No pinching of nerves is noted. 3. A 2mm disc bulge at L5-S1 comments on MRI: there is very mild lower lumbar hyperlordosis w.out significant scoliosis. The sacral base angle is minimally increased. L5-S1 No significant degenerative disc disease. Small disc bulge 2mm accentuated just in the left of mid line because of hyperlordosis,central canal is capacious and no significant central OR FORAMINAL NARROWING. conus is normal. There is a slight disc bulging at L 5 - S 1 and it is more to the left of midline. There is no pinching of nerves. 4. The lower two thoracic and first three lumbar interspaces are normal. Rest of the discs in mid back region are normal as visible on the scan. 5. No fracture or dislocation no intradural or paraspinous masses. No features of trauma or growth seen on MRI. From the above it is seen that you have mild disc degeneration problems at L 4 - 5 and L 5 - S 1 and this is not a serious concern. Any pain is to be treated with physiotherapy and neurogenic pain relievers.