Hello Dr. Rynne, I just received a copy of my MRI. I am definitely experiencing pain and am not sure what this means. Things like degenerative endplate changes, several disc bulges, a 27 degree levoscoliotic curvature of the mid lumbar spine. I copied the results below: Thank you for looking at it.
FINDINGS: On the coronal sequences the patient has a 27 degrees levoscoliotic curvature of the mid lumbar spine.
The apex is at the L3 vertebral body. On the sagittal sequences there are degenerative endplate changes at the anterior and inferior L3 and anterior superior endplate of L4.
This shows diffuse low signal on the Tl, and high signal on the T2 sequences.
These are consistent with Modic endplate changes.
There is intervertebral disc space narrowing at the T12/Ll level and on the right at the L2/3 and L3/4 levels.
The conus medullaris terminates at the Ll level.
Specific lumbar levels:
L2/3: There are small bilateral foraminal disc bulges with no central canal or neural foraminal stenosis.
L3/4: There is a broad central/right paracentral disc bulge which narrows the right neural foramen moderately. The disc bulge does impinge on the exiting nerve root on the right.
L4/5: Broad central disc bulge which extends into the bilateral neural foramen and narrows them moderately.
L5/S 1: Central disc bulge which indents the anterior thecal sac. No central canal or neural foraminal stenosis.
There is a fluid signal focus seen anterior to the left kidney on the axial T2 sequences. This likely represents some fluid in the stomach.
IMPRESSION:
1. The patient has a 27 degree levoscoliotic curvature of the mid lumbar spine. This results in narrowing of the right intervertebral disc spaces at the L2/3 and L3/4 level.
2. There are spondylotic changes throughout the lumbar spine as described above. In my opinion these are worst at the L3/4 and L4/5 levels. Specifically, at the L3/4 level there is moderate to severe right neural foraminal narrowing and mild left neural foraminal narrowing. At the L4/5 level there is moderate bilateral neural foraminal narrowing.