About B. Love AS, R.T.(R) (ARRT) Expertise Answer - any questions concerning radiographic (X-Ray) positioning, exam expectations, procedural concerns, effects of radiation, as well as other modalities such as CT, and MRI.
Experience I have over 15 years of experience in X-ray, as well as several years of teaching radiographic examinations and positioning, anatomy pathology, etc.
Organizations American Registry of Radiologic Technologist (ARRT)
American Society of Radiologic Technologist (ASRT)
Education/Credentials As of the end of 2008 I will be certified for MRI as well as completing my Bachelors of Science in Radiographic Sciences (BSRS)degree. Currently I hold an Associates degree in Radiological Sciences from Kent State University in Ohio. I am a registered Radiographer in Ohio and Florida and certified by the American Registry of Radiologic Technologist (ARRT).
Expert: B. Love AS, R.T.(R) (ARRT) Date: 6/22/2008 Subject: MRI
Question I have low back pain for the last 10 years . Had two epidural injections twice . last one three years back . I had MRI on 21-06-08. Following are Radiologisit Observations from MRI . Do you suggest anysurgery ?
MRI of Lumbo Sacral Spine and screening Pelvis Performed
Protocol: FSET2 - AXIAL
FSET1 & FSET2 - SAGITTAL
Screening : FSE T2 – SAGITTAL
Straightening of Lumbar Spine seen
Severe Degenerative End plate changes at L4/5 level
Rest of the Vertebral Bodies are normal in Height and Alignment
Anterior Marginal Osteophytes at L4/5 and L2/3 levels
Degenerated and dessicated of all Lumbar intervertebral Discs noted
Reduced intervertebral disc height , disc dessication , diffuse disc bulge at L4/5 causing
Disc Dessication , diffuse disc bulge at L3/4 causing
Mild Interior thecal indentation
Bilateral moderate to severe neuro-foraminal stenosis (Right>left)
Disc Dessication , Diffuse disc Bulge and postero central annular tear at L1/2 level
Mild Disc Dessication , left facetal arthropathy at L5/S1 causing
Left Moderate neuro foraminal stenosis
Spinal Cord is normal in signal intensity
No Obvious abnormal pre and para vertebral soft Tissues
Spinal Canal Dimensions are normal ( L1=234, L2=243, L3=220. L4=226and L5=240mm sq)
Impressions: Findings suggestive of
Degenerative Lumbar / Lumbosacral spine disease with
Reduced Intervertebral Disc Height, disc dessication , diffuse disc bulge at L4/5 causing
Bilateral moderate neuro foraminal stenosis(Right> Left) abutting existing nerve roots
Disc Dessication , diffuse disc bulge at L3/4 causing
Mild interior thecal indentation
Bilateral moderate to severe neuro foraminal stenosis (Right > Left)
Disc dessication , diffuse disc bulge and Potero Central Annular Tear at L1/2 level
Mild Disc Dessication , left facetal arthropathy at L5/S1causing
Left Moderate neuro foraminal stenosis
(KINDLY CORRELATE CLINICALLY)
2) MRI PELVIS SCREENING
Small Divericula (1X1 cm approx) noted in right supero –lateral aspect of urinary bladder .
No other obvious abnormality detected
(KINDLY CORRELATE CLINICALLY)
Kindly advise .
Thank You
Answer You have a trashed back...but functional. There is NO guarantee that surgery would help you but it may.
If you want to avoid surgery have you considered pain management? It may improve the quality of your life...but you must excersise serious self-control because the meds are addictive and your body will come to depend on them.
