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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This MRI Report Indicate?

I had a fusion on L4-L5 about 5 years ago & now i just had a MRI done & its saying thes things. Borderline Acquired Central Canal Stenosis @ L2-L3 , Secondary to disk bulging & facet arthropathy. # 2 Laminectomy changes identified @ L4-L5, with no evdence of disk herniation or neural compromise. # 3 Moderately severe facet arthropathy is identified bilaterallyn @ L5-S1 level. # 4 Minimal noncompressive disk bulging @ L1-L2. Now i have a lots of pain in my lower part of my back & into my legs & hips & my hips gets numb & my lesg more of my right leg & my lower back gets numb to.
Mon, 29 Dec 2014
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Radiologist 's  Response
Hi,
Thanks for writing in.

Please find the MRI scan findings explained below in simple language.

1. Borderline Acquired Central Canal Stenosis @ L2-L3 , Secondary to disk bulging & facet arthropathy.

This shows that there is spinal canal narrowing due to possible degeneration and disc bulging. This is often an age related degeneration.

2. Laminectomy changes identified @ L4-L5, with no evidence of disk herniation or neural compromise.

This is the area of surgery and things look fine at this area.

3. Moderately severe facet arthropathy is identified bilaterally @ L5-S1 level.

There is advanced degenerative changes at L 5 - S 1 level which can be causing the pain you are having.

4. Minimal noncompressive disk bulging @ L1-L2.

Slight disc bulge is noted at L 1 - L 2 level.

It is possible that a nerve is getting pinched along its way to the legs. However no serious problems are seen on MRI which can be a serious concern. Its important to note that after back surgery, many patients continue to have symptoms and other methods of treatment like neurogenic pain relievers, ointments and physiotherapy must be thought of as relieving measures.
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What Does This MRI Report Indicate?

Hi, Thanks for writing in. Please find the MRI scan findings explained below in simple language. 1. Borderline Acquired Central Canal Stenosis @ L2-L3 , Secondary to disk bulging & facet arthropathy. This shows that there is spinal canal narrowing due to possible degeneration and disc bulging. This is often an age related degeneration. 2. Laminectomy changes identified @ L4-L5, with no evidence of disk herniation or neural compromise. This is the area of surgery and things look fine at this area. 3. Moderately severe facet arthropathy is identified bilaterally @ L5-S1 level. There is advanced degenerative changes at L 5 - S 1 level which can be causing the pain you are having. 4. Minimal noncompressive disk bulging @ L1-L2. Slight disc bulge is noted at L 1 - L 2 level. It is possible that a nerve is getting pinched along its way to the legs. However no serious problems are seen on MRI which can be a serious concern. Its important to note that after back surgery, many patients continue to have symptoms and other methods of treatment like neurogenic pain relievers, ointments and physiotherapy must be thought of as relieving measures.