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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does the following MRI Scan Indicate? 

Hello, I hurt my lower back 8 months ago at the gym and I tried therapeutic massages, chiropractor, and finally I decided to see a medical doctor when my legs are starting to feel a little sore and my lower back felt burning especially when I play volleyball. I was told to get MRI and I got the following results from MRI. Would you please help me to decide whether I should see a specialist or do exercises and let it heal naturally? The following is my MRI:

EXAM: MRI of the lumbar spine without IV contrast.
COMPARISON: No comparison available.
INDICATION/HISTORY: L spine with radiculopathy
TECHNIQUE: Multisequence, multiplanar MRI of the lumbar spine with
FINDINGS:
* Alignment: Normal.
* Vertebrae and Marrow: Bone marrow signal is unremarkable.
* Disc spaces: Mild disc desiccation at L3-L4.
* Conus: Normal. Terminates at L1.
* Soft tissues: Unremarkable.
* T11-T12: Partially imaged on the sagittal images. No
significant disc bulge. No central canal stenosis or definite
neural foraminal narrowing.
* T12-L1: No significant disc bulge. No central canal stenosis
or neural foraminal narrowing.
* L1-2: No significant disc bulge. No central canal stenosis or
neural foraminal narrowing.
* L2-3: No significant disc bulge. No central canal stenosis or
neural foraminal narrowing.
* L3-4: Mild disc bulge with mild impress on the ventral thecal
sac. No central canal stenosis or neural foraminal narrowing.
* L4-5: Minimal left eccentric disc bulge. No central canal
stenosis or neural foraminal narrowing. Mild right facet
arthrosis.
* L5-S1: No significant disc bulge. No central canal stenosis
or neural foraminal narrowing. Mild facet arthrosis.

IMPRESSION:
1. Mild multilevel DDD and DJD as above.

Thanks for your help.
Tue, 9 Jun 2015
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Pathologist and Microbiologist 's  Response
Hi I did review your concern,
Your MRI features are largely normal for any acute concerns.
they are though indicative of degenerative disk and joint disease like osteoarthritis or spondyloarthopathy.
It requires consultation with a rheumatologist and beginning of proper physiotherapy and rarely medical management in form of glucorticoids.
The concern is your disk might bulge and herniate and irritate nerve roots and cause pain and discomfort and weakness in your legs in futur but not of any acute concern.
i hope this helps
wish you all the best
thank you for choosing hcm
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What Does the following MRI Scan Indicate? 

Hi I did review your concern, Your MRI features are largely normal for any acute concerns. they are though indicative of degenerative disk and joint disease like osteoarthritis or spondyloarthopathy. It requires consultation with a rheumatologist and beginning of proper physiotherapy and rarely medical management in form of glucorticoids. The concern is your disk might bulge and herniate and irritate nerve roots and cause pain and discomfort and weakness in your legs in futur but not of any acute concern. i hope this helps wish you all the best thank you for choosing hcm