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Back Problems Message Board


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I had a new MRI done recently and would love it if I could get some opinions on what is going on, etc.

Findings:
There is no abnormal cord or marrow signal identified. The conus ends appropriately.

T12 through L4 are normal

L4-L5: There is enhancing fibrosis present anterior and rightward of the thecal sac extending into the adjacent soft tissues posteriorly. Overall appearance of this level is similar to october 2005, with left sided ligamentum flavum hypertrophy and bilaterl facet athropathy. Mild canal and foraminal stenosis is unchanged. There is evidence of previous right laminectomy.

L5-S1: There is a left paracentral disc protrusion which indents the thecal sac, which as progressed slightly from prior exam. No foraminal stenosis.

Impression:
Slight interval progression of L5-S1 left paracentral disc protrusion.
Postop changes at L4-5 without evidence of recurrent disc herniation.

This is the prior report from 10/2005:
At L4-5, a right paracentral disc bulge is present. No focal disc herniation. Surrounding the right posterior vertebral elements extending into the rightward and anterior epidural space is enhancing soft tissue likely representing scar tissue. The left ligamentum flavum is hypertrophied. Together these result in mild central canal stenosis measuring 10MM AP. Mild right neuroforaminal narrowing and mild left and foraminal narrowing is present due to the disc bulge. Bilateral facet arthropathy is present, with enhancement of both facet joints.

At L5-S1, a central disc protrusion is present. This does not appear to displace nerve roots or cause significant stenosis.

Impression: Postsurgical changes at-5 as described. Facet arthropathy at L4-5 but no root displacement.
Disc herniation at L5-S1

Can anyone make sense of this or tell me if this is causing my lower lumbar pain and leg/nerve pain in both legs? What would you be looking at for treatment if it were your back? Would an ESI help? Thanks in advance!!





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