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Can someone please help me understand CT and Mri Reports

Started by Dominic on 01/02/2013 10:35am

Hi Everyone,
My name is Dominic and I was a workaholic...
Now at the age of 43, I am unable to work. Today my greatest physical accomplishments are light household tasks. I have had issues with my neck and back for several years now unfortunately everything came to a crashing halt on June 23, 2011. My G.P would not request any sort of imaging and just chalked my symtoms to muscle spasms, Fibromyalgia and chronic pain. When imaging was requested these were the findings:
X-RAY of the Lumbar Spine
-end plate entophytes are present at multiple levels in the Lumbar and lower Thoracic Spine

C.T of the Lumbar Spine

T12-L1-there are small end-plate entophytes and there is mild bilateral facet osteoarthritis
L1-L2-there are end-plate entophytes and there is mild bilateral osteoarthritis. There is a slight bulging of the disc
L2-L3-there is a far right disc protrusion, disc material extending into the intervertebral foramen along the exciting L2 nerve root. There are end plate entophytes. There is mild narrowing of the interverterbral foramen bilaterally
L3-L4-there are end plate entophytes and there is bilateral facet osteoarthritis. There is mild narrowing of the intervertebral foramina bilaterally. There is a bulging of the disc and there is mild bilateral ligament flavum hypertrophy. There is mild central spinal stenosis.
L4-L5-there are end plate entophytes and there is bilateral facet osteoarthritis. There is a mild narrowing of the intervertebral foramina bilaterally. There is bulging of the disc, and there seems to be a left sided disc protrusion. There is borderline central spinal stenosis.
L5-S1-there are end plate entophytes and there is bilateral facet osteoarthritis. There is mild narrowing of the intervertebral foramina bilaterally and there is a mild bulging of the disc.

MRI Of the Lumbar Spine

L2-L3-There is a right far lateral disc extrusion with some extension into the inferior foramen bilaterally. More so on the right with possible impingement upon the exiting L2 nerve root.
L3-L4-There is decreased signal intensity and disc height with a broad based protrusion measuring several millimetres flattening the ventral thecal sac. This extends into the far lateral region bilaterally and there is a mild degree of bilateral foramina stenosis. I suspect possible impingement on the exiting L3 nerve root.
L4-L5-There is a decreased signal intensity and disc height with a broad based disc extrusion flattening the ventral thecal sac. There is a focus of increased signal intensity in the dorsal disc margin which may represent a fissure in the annulus. The broad based bulge does abut the L5 nerve roots in the lateral recesses , more so on the left with likely impingement upon the descending L5 nerve root against the posterior bony canal wall.
L5-S1- There is a decreased disc in height and signal intensity.
A broad based disc extrusion is noted posteriorly near the mid line flattening the ventral thecal sac causing a mild degree of left sided foramina stenosis. There is likely impingement upon the exiting L5 nerve root.

MRI of the Thoracic Spine

Findings

A minor disc bulge is noted at the T8-T9. This appears no compressive.

A further disc bulge is noted at the T11-T12. This also appears non compressive on the sagittal sequences.

*** Please note***

In desperation I have done some inquiry in out of country surgery with a no cost image consultation. Their findings (North American Spine)

Lumbar Spine
In the Lumbar Spine their findings correlate with the imaging performed at Northumberland Hills Hospital, however….

Thoracic Spine
Spinal cord compression due to multiple bulges.

Can someone please help me understand my CT AND MRI Reports...
Thank You
Dominic

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