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On July 10, 2006 I had a laminotomy/discectomy at L4/L5 and L5/S1. Since then, I have had gradually increasing pain, to the point that now I feel pretty much like I did before surgery. :( My surgeon sent me for another MRI and I picked up the results yesterday. I talk with him on Thursday, but in the interim wanted to get others opinions.... maybe I'm freaking out unneccesarily! Arg! It appears to me that I'm reherniated and now have scar tissue issues. Hoping to be prepared with more knowledge before I talk to him Thursday.

**FINDINGS**

L4-5: There are postoperative changes from right laminotomy, including enhancing scar tissue in the right epidural space and posterior paraspinal soft tissue. The scar tissue in the right lateral recess surrounds the descending right L5 nerve root. There is also the right lateral disc herniation, at the location of previous herniation, extending into the lateral recess. The signal intensity of the herniated disc fragment is intermediate, similar to the native nucleus pulposus, consistent with recurrent disc herniation. Enhancement in the disc fragment and surrounding tissue is consistent with inflammatory changes. There is posterior displacement of the descending right L5 nerve root with effacement of the ventral thecal sac. There is moderate right neural foraminal stenosis, but no impingement of the exiting L4 nerve root.

L5-S1: There is right lateral disc herniation extending into the right neural foramen, causing moderate neural foraminal stenosis. There is disc material contacting the undersurface of the exiting right L5 nerve root. These findings have not significantly changed since the prior study. There are posoperative changes from left laminotomy with enhancing scar tissue in the left lateral epidural space and posterior paraspinal soft tissue, slightly contacting the left descending S1 nerve root.

**IMPRESSION**

Postoperative changes from right L4-5 and left L5-S1 laminotomy as described above.

Right L5-S1 lateral disc herniation extending to the lateral recess and displacing the descending right L5 nerve root posteriorly.

Right L5-S1 lateral disc herniation extending into the right neural foramen, slightly contacting the undersurface of the exiting right L5 nerve root.


Thanks!





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