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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The MRI Report Indicate?

L4-L5: There is circumferential disk bulging present. There is moderate facet hypertrophy and ligament flavum hypertrophy. The result is severe central canal stenosis & lateral recess stenosis. There is bilateral facet arthropathy and fluid within the synovial joints of the facets, moderate right and minimal left neural foraminal stenosis. 5/10/11 MRI results of 73 year old female, overweight and on a walker for the past year.
Fri, 10 Oct 2014
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Radiologist,  's  Response
Hi,
Thanks for writing in.

Degenerative changes are seen in the small bones of the lower back. These occur due to aging and are a form of arthritis due to aging.

The degenerative changes in disc has occurred at L 4 - L 5 level and can be expected if you are elderly. This is causing the spinal canal narrowing and pressure on nerve roots leading to pain. There is degenerative change and fluid collection in facet joints. The Facet joints are the joint structures that connect the vertebrae to one another. The facet joint is like any other joint in your body – they have cartilage that line the joint, (this allows the bone to glide smoothly over one another) and a capsule surrounding the joint.

The nerve pressure is more on the left side and you will have leg pain on both sides and which will be more on the left side.
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What Does The MRI Report Indicate?

Hi, Thanks for writing in. Degenerative changes are seen in the small bones of the lower back. These occur due to aging and are a form of arthritis due to aging. The degenerative changes in disc has occurred at L 4 - L 5 level and can be expected if you are elderly. This is causing the spinal canal narrowing and pressure on nerve roots leading to pain. There is degenerative change and fluid collection in facet joints. The Facet joints are the joint structures that connect the vertebrae to one another. The facet joint is like any other joint in your body – they have cartilage that line the joint, (this allows the bone to glide smoothly over one another) and a capsule surrounding the joint. The nerve pressure is more on the left side and you will have leg pain on both sides and which will be more on the left side.